National Provider Identifier
Teasleeman Gilliam
Teasleeman Gilliam is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Amherst, NY and a listed phone number of (716) 292-2516.
Profile Overview
- NPI
- 1366082307
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 07, 2020
- Last Updated
- January 07, 2020
Practice Location
- 47 Pheasant Run
- Amherst, NY 14228-1839
Phone: (716) 292-2516
Mailing Address
- 195 Mead St
- North Tonawanda, NY 14120-4457
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1366082307
- Entity Type
- Individual
- Last Name
- Gilliam
- First Name
- Teasleeman
- Mailing Street Address
- 195 Mead St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4457
- Mailing Country
- US
- Mailing Phone
- (716) 313-9488
- Practice Street Address
- 47 Pheasant Run
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-1839
- Practice Country
- US
- Practice Phone
- (716) 292-2516
- Enumeration Date
- January 07, 2020
- Last Updated
- January 07, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 07, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)