Provider Demographics
NPI:1770971855
Name:TEFFT, ANGELA JOYCE (DNP, FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOYCE
Last Name:TEFFT
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 PACIFIC AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4384
Mailing Address - Country:US
Mailing Address - Phone:253-358-3143
Mailing Address - Fax:253-514-6239
Practice Address - Street 1:1201 PACIFIC AVE STE 600
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4384
Practice Address - Country:US
Practice Address - Phone:253-358-3143
Practice Address - Fax:253-514-6239
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-24
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60521323363LF0000X, 363LP0808X
CA95001874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily