TEAGUE DUNCAN WILSON


Address: 3305 E Nighthawk Way, Phoenix, AZ 85048
Phone: 6023163239

TEAGUE DUNCAN WILSON (NPI# 1497278113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497278113
Entity Type Individual
Full Name TEAGUE DUNCAN WILSON
Practice Address 3305 E Nighthawk Way
Phoenix
AZ 85048
Mailing Address 3305 E Nighthawk Way
Phoenix
AZ 85048-7802
Practice Telephone 6023163239
Enumeration Date 2017-07-25
Last Update Date 2017-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers

Office Location

Street Address 3305 E NIGHTHAWK WAY
City PHOENIX
State AZ
Zip Code 85048

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1699299560 Brianna Alean Kinsey Student in an Organized Health Care Education/Training Program 16214 S. 1st Street, Phoenix, AZ 85048 2017-08-01
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1235551904 Louise Marie Braunbeck Physical Therapy Assistant 16649 S 24th Place, Phoenix, AZ 85048 2014-01-14
1780026260 Erin Onacki Social Worker 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 2013-07-24
1649528720 Cody A Morales Social Worker 4654 E Mountain Vista Dr, Phoenix, AZ 85048 2012-08-21
1417168287 Lori Lynn Haas Social Worker 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 2007-05-24
1285847210 Jonne Amorette Housh Nurse Practitioner 4545 E Chandler Blvd., Phoenix, AZ 85048 2007-05-07
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356951743 Marlen Eilyn Murillo Specialist/Technologist 9150 W Indian School Rd # 150, Phoenix, AZ 85037-2384 2020-07-31
1619585411 Risa Fly Specialist/Technologist 3700 N 24th St Ste 130, Phoenix, AZ 85016-6535 2020-07-17
1750916755 Jessika Beltran Salazar Specialist/Technologist 7120 W Pioneer St, Phoenix, AZ 85043-7289 2020-03-10
1700419439 Brandy Danielle Levy Specialist/Technologist 18242 N 5th Pl, Phoenix, AZ 85022-1012 2020-02-21
1639700115 Sadie Merrill Specialist/Technologist 15201 N Central Ave, Phoenix, AZ 85022-3641 2020-02-03
1093346983 Theresa Joan Trollinger Specialist/Technologist 16220 N 7th St Apt 3030, Phoenix, AZ 85022-6662 2020-01-29
1801436720 Jordan Leigh Sonneborn Specialist/Technologist 1616 N Central Ave Apt 2459, Phoenix, AZ 85004-1670 2020-01-08
1790320141 Anah Navarro Specialist/Technologist 5208 S 40th Pl, Phoenix, AZ 85040-3909 2019-11-08
1700427614 Rosa Dalila Paz Specialist/Technologist 6454 W Blue Sky Dr, Phoenix, AZ 85083-7554 2019-10-02
1063060739 Alondra Mata Bustillos Specialist/Technologist 3408 W Altadena Ave, Phoenix, AZ 85029-3228 2019-08-27
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Competitor

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City PHOENIX
Zip Code 85048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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