Provider Demographics
NPI:1649933607
Name:GUYTON, TERESA KAY (RN)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:KAY
Last Name:GUYTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 LESLIE NEWSOME AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4937
Mailing Address - Country:US
Mailing Address - Phone:910-640-1830
Mailing Address - Fax:910-640-1854
Practice Address - Street 1:109 LESLIE NEWSOME AVE
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4937
Practice Address - Country:US
Practice Address - Phone:910-640-1830
Practice Address - Fax:910-640-1854
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC245857163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse