Provider Demographics
NPI:1407687585
Name:TEDDER, A MICHELE (RN)
Entity type:Individual
Prefix:
First Name:A MICHELE
Middle Name:
Last Name:TEDDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BRYN MAWR CT W APT 212
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3805
Mailing Address - Country:US
Mailing Address - Phone:412-444-8569
Mailing Address - Fax:
Practice Address - Street 1:100 BRYN MAWR CT W APT 212
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-3805
Practice Address - Country:US
Practice Address - Phone:412-983-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach