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NPI Profile for TERESA ALTAWIL in SOUTHFIELD, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1548937162 |
|
| Status | Active | |
| Credentials | AGPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 08/23/2021 | |
| Last updated | 10/29/2025 - About 7 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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TERESA ALTAWIL
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TERESA ALTAWIL, AGPCNP-BC