Provider Demographics
NPI:1780935049
Name:BAUERNSCHMIDT, TERESA M (WHNP-BC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:BAUERNSCHMIDT
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:FUGGITI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:OBSTETRICS AND GYNECOLOGY
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-9306
Mailing Address - Fax:
Practice Address - Street 1:108 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-7056
Practice Address - Country:US
Practice Address - Phone:802-299-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0099426363LW0102X
NH065564-23363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health