Provider Demographics
NPI:1740162395
Name:LANIER, TERESA VERA (MSN, RN, CNL)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:VERA
Last Name:LANIER
Suffix:
Gender:F
Credentials:MSN, RN, CNL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3659 SURREY CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-5073
Mailing Address - Country:US
Mailing Address - Phone:251-379-7084
Mailing Address - Fax:
Practice Address - Street 1:4444 DEMETROPOLIS RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-9602
Practice Address - Country:US
Practice Address - Phone:251-751-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-076288163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health