Laurie B Teal, PMHNP - Nurse Practitioner in Shushan, NY

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Laurie B Teal, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Shushan, New York. Laurie B Teal is licensed to practice in Vermont (license number 101-0131597) and her current practice location is 725 Juniper Swamp Rd, Shushan, New York. She can be reached at her office (for appointments etc.) via phone at (518) 812-6842.

NPI number for Laurie B Teal is 1114447166 and her current mailing address is 725 Juniper Swamp Rd, Shushan, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114447166.

Contact Information

Laurie B Teal, PMHNP
725 Juniper Swamp Rd,
Shushan, NY 12873-2910
(518) 812-6842
(518) 338-0174

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Provider's Profile

Full NameLaurie B Teal
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location725 Juniper Swamp Rd, Shushan, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114447166
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 03/10/2022

Medical Identifiers

Medical identifiers for Laurie B Teal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114447166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 101-0131597 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laurie B Teal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laurie B Teal, PMHNP
725 Juniper Swamp Rd,
Shushan, NY 12873-2910

Ph: (518) 812-6842		Laurie B Teal, PMHNP
725 Juniper Swamp Rd,
Shushan, NY 12873-2910

Ph: (518) 812-6842

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Nurse Practitioner Nurses in Shushan, NY


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