Provider Demographics
NPI:1225662448
Name:TEAS, AMELIA H (DNP APRN AG/ACNP-BC)
Entity type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:H
Last Name:TEAS
Suffix:
Gender:F
Credentials:DNP APRN AG/ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 KELLE DR APT 202
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-8744
Mailing Address - Country:US
Mailing Address - Phone:815-954-8327
Mailing Address - Fax:
Practice Address - Street 1:200 E 89TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7318
Practice Address - Country:US
Practice Address - Phone:219-738-4926
Practice Address - Fax:219-738-4931
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8845473-8900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care