Provider Demographics
NPI:1356054332
Name:YRIGOYEN, TERESA CHRISTINA
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:CHRISTINA
Last Name:YRIGOYEN
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 1:2201 N IRONWOOD PL STE 100
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2670
Mailing Address - Country:US
Mailing Address - Phone:208-769-4222
Mailing Address - Fax:
Practice Address - Street 1:1038 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2249
Practice Address - Country:US
Practice Address - Phone:208-620-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator