| Teresa Harris, | |
|
830 Deer Creek Rd, O Fallon, IL 62269-4206 | |
| (314) 574-8314 | |
| Not Available |
| Full Name | Teresa Harris |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 830 Deer Creek Rd, O Fallon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164801197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2009000824 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Harris, 830 Deer Creek Rd, O Fallon, IL 62269-4206 Ph: (314) 574-8314 | Teresa Harris, 830 Deer Creek Rd, O Fallon, IL 62269-4206 Ph: (314) 574-8314 |
Amillia Polk, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 810 White Oak Dr Apt 5, O Fallon, IL 62269 Phone: 314-665-5308 |
Ms. Gwendolyn Bradley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 294 Kings Ridge Blvd, O Fallon, IL 62269 Phone: 618-975-3781 |