Provider Demographics
NPI:1861284853
Name:TEEL, GRETCHEN L (MSN RN CPPS)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:L
Last Name:TEEL
Suffix:
Gender:F
Credentials:MSN RN CPPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 RED EAGLE CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-3048
Mailing Address - Country:US
Mailing Address - Phone:703-628-5820
Mailing Address - Fax:
Practice Address - Street 1:8416 RED EAGLE CT
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-3048
Practice Address - Country:US
Practice Address - Phone:703-628-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001246557163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator