Teresa Graklanoff in Meridian - Physician Assistant
Teresa Graklanoff - NPI 1265461479
Teresa Graklanoff is a Physician Assistant in Meridian, Idaho. Teresa Graklanoff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Teresa Graklanoff is 1265461479. The last update date is 2019-08-29.
Teresa Graklanoff's current location address is 1618 S. Millennium Way, Meridian, Idaho. You can contact this provider via phone number 2088843376 and fax number 2088840858. The mailing address for Teresa Graklanoff is 1618 S. Millennium Way, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Graklanoff |
|---|---|
| Address | 1618 S. Millennium Way, Meridian, Idaho |
| Phone Number | 2088843376 |
| Fax Number | 2088840858 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265461479 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2019-08-29 |
Provider Mailing Address Detail
| Address | 1618 S. Millennium Way |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426457 |
| Phone Number | 2088843376 |
| Fax Number | 2088840858 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA393 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806410600 | ID | -- |
Post Comment/ Review Below
What is the Teresa Graklanoff's 1265461479?
The Teresa Graklanoff's NPI (National Provider Identifier) Number is 1265461479. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Teresa Graklanoff is physically located?
The Teresa Graklanoff is physically situated at the following address: 1618 S. Millennium Way, Meridian, ID, 836426457.
What is the Teresa Graklanoff's specialty and taxonomy code?
The Teresa Graklanoff's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Teresa Graklanoff receive its 1265461479 assignment from the Centers for Medicare & Medicaid Services?
The Teresa Graklanoff was assigned its 1265461479 on 2006-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Teresa Graklanoff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Teresa Graklanoff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-29.
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