Individual provider · NPI-1
Paula S Tedder, RN, BSN, MS
Health & Wellness Coach · Conroe, TX
NPI number1720797384
StatusActive
Last updated in NPPESNov 22, 2022
Details
- NPI
- 1720797384
- Entity type
- Individual (NPI-1)
- Name
- Paula S Tedder
- Credential
- RN, BSN, MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2022
- Certification date
- Nov 22, 2022
- Last updated
- Nov 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
| 163W00000X | Registered Nurse | 844735 | TX |
Practice location
10223 Black Forest CtConroe, TX 77385-2023
Phone 409-247-4123
Mailing address
10223 Black Forest CtConroe, TX 77385-2023
Phone 409-247-4123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.