Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Emily Lucille Teesdale, A-GNP

Individual provider Gerontology Nurse Practitioner · NPI 1982126009

Mrs. Emily Lucille Teesdale, A-GNP is a Gerontology Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563
Phone: (616) 391-9945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704274128 (MI)

Record details

NPI number1982126009
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

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