Teneisha Taquae Craighead, NP | |
630 E River St, Elyria, OH 44035-5902 | |
(440) 452-0740 | |
Not Available |
Full Name | Teneisha Taquae Craighead |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 630 E River St, Elyria, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083493969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0034909 (Ohio) | Primary |
Entity Name | 360team Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780267146 PECOS PAC ID: 4880096627 Enrollment ID: O20210715002492 |
Mailing Address | Practice Location Address |
---|---|
Teneisha Taquae Craighead, NP 547 University Ave, Elyria, OH 44035-7236 Ph: (440) 452-0740 | Teneisha Taquae Craighead, NP 630 E River St, Elyria, OH 44035-5902 Ph: (440) 452-0740 |
Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312 | |
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454 |