Provider Demographics
NPI:1881365435
Name:TEVES, JOREIN (ARNP)
Entity type:Individual
Prefix:
First Name:JOREIN
Middle Name:
Last Name:TEVES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 S 320TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5179
Mailing Address - Country:US
Mailing Address - Phone:206-651-7920
Mailing Address - Fax:
Practice Address - Street 1:1045 S 320TH ST STE 7
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5179
Practice Address - Country:US
Practice Address - Phone:206-651-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61221943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily