Provider Demographics
NPI:1992472161
Name:TEESELINK, CATHERINE (APRN-FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:TEESELINK
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:AGNES
Other - Last Name:STROO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 N WALKER AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-6408
Mailing Address - Country:US
Mailing Address - Phone:214-789-6364
Mailing Address - Fax:
Practice Address - Street 1:3851 PIPER ST STE U340
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-6904
Practice Address - Country:US
Practice Address - Phone:907-562-0321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK180227163WX0200X
AK181100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology