Provider Demographics
NPI:1891891081
Name:NEAGU, TEODORA AMALIA (APN, ACNP-BC, MA PSY)
Entity Type:Individual
Prefix:MS
First Name:TEODORA
Middle Name:AMALIA
Last Name:NEAGU
Suffix:
Gender:F
Credentials:APN, ACNP-BC, MA PSY
Other - Prefix:MS
Other - First Name:TEODORA
Other - Middle Name:AMALIA
Other - Last Name:NEAGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-BC
Mailing Address - Street 1:10710 MURDOCK DR
Mailing Address - Street 2:STE 103
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3257
Mailing Address - Country:US
Mailing Address - Phone:865-690-3737
Mailing Address - Fax:
Practice Address - Street 1:10710 MURDOCK DR
Practice Address - Street 2:STE 103 &104
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3257
Practice Address - Country:US
Practice Address - Phone:865-690-3737
Practice Address - Fax:865-690-3757
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012684363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care