Provider Demographics
NPI:1467793778
Name:EVANS-GUYTON, TERESA M (CNP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:EVANS-GUYTON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32028
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44132-0028
Mailing Address - Country:US
Mailing Address - Phone:216-200-6552
Mailing Address - Fax:866-611-2650
Practice Address - Street 1:2020 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2963
Practice Address - Country:US
Practice Address - Phone:216-200-6552
Practice Address - Fax:866-611-2650
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14252-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH14252-NPOtherCNP AUTHORITY