Provider Demographics
NPI:1821969304
Name:ELMQUIST, TERESA JO (CRNP- FNP-C)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:JO
Last Name:ELMQUIST
Suffix:
Gender:F
Credentials:CRNP- FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 GLEN HAZEL RD
Mailing Address - Street 2:
Mailing Address - City:WILCOX
Mailing Address - State:PA
Mailing Address - Zip Code:15870-3616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:49 RIDGMONT DR STE 1
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-9700
Practice Address - Country:US
Practice Address - Phone:814-245-2119
Practice Address - Fax:814-245-2122
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine