Anderson, Terri Lynn

Anderson, Terri Lynn is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Terri Lynn can be contacted via phone (210) 567-4500.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 567-4500
Fax: (210) 567-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 637129 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP111453 Texas

Profile Details

NPI number 1518902717
LBN Legal business name Anderson, Terri Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518902717 NPPES
Texas Other TIN PLUS SUFFIX 015 TRICARE
Texas MEDICAID 151302015 TRICARE
Texas Other 8835UU TRICARE
Texas MEDICAID 151302017 TRICARE

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