Provider Demographics
NPI:1942220157
Name:TEFFT, COLETTE M (CNS)
Entity Type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:M
Last Name:TEFFT
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:MS
Other - First Name:COLLETTE
Other - Middle Name:M
Other - Last Name:APRIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNS
Mailing Address - Street 1:11 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2296
Mailing Address - Country:US
Mailing Address - Phone:978-241-5161
Mailing Address - Fax:
Practice Address - Street 1:11 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-2296
Practice Address - Country:US
Practice Address - Phone:978-241-5161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA127506363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH031971-23OtherNH NURSING LICENSE
MAS57570Medicare UPIN