Provider Demographics
NPI:1245004241
Name:FLEMING, TERESA MICHELLE
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MICHELLE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 WILDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1631
Mailing Address - Country:US
Mailing Address - Phone:803-546-0567
Mailing Address - Fax:
Practice Address - Street 1:839 WILDWOOD CT
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1631
Practice Address - Country:US
Practice Address - Phone:803-546-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker