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Teresa Anne Distler, NP-C
Family Nurse Practitioner in Fort Leonard Wood, Missouri
NPI 1679024798

Teresa Anne Distler is a Family Nurse Practitioner based in Russellville, MO and is specialized in Family. Teresa Anne Distler practices in Fort Leonard Wood, MO and has the professional credentials of NP-C. The NPI Number for Teresa Anne Distler is 1679024798 and holds a License No. 2016037029 (Missouri).

The current practice location address for Teresa Anne Distler is 4430 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-1765.

Location: 4430 Missouri Ave, Fort Leonard Wood, MO, 65074-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679024798
Provider Name
Teresa Anne Distler
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4430 Missouri Ave, Fort Leonard Wood, MO, 65074-2814
Phone Number
573-596-1765
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-1765
Fax Number
person
Provider Business Mailing Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-1765
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2016037029 (Missouri)
Definition
Definition to come...
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