Provider Demographics
NPI:1053548222
Name:SETNAR, TERESA D (RN)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:D
Last Name:SETNAR
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 1:7134 ADDINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9477
Mailing Address - Country:US
Mailing Address - Phone:614-893-7827
Mailing Address - Fax:614-933-0791
Practice Address - Street 1:7134 ADDINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9477
Practice Address - Country:US
Practice Address - Phone:614-893-7827
Practice Address - Fax:614-933-0791
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-214995163W00000X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics