Anderson, Terry A

Anderson, Terry A is an individual health care provider with primary practice located at 555 N Woodlawn St Ste 102 , Wichita KS 67208-3671. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Anderson, Terry A can be contacted via phone (316) 652-2590.

Contact Information

Primary practice address
555 N Woodlawn St Ste 102 Wichita KS 67208-3671
Phone: (316) 652-2590
Fax: (316) 652-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 74492 Kansas

Profile Details

NPI number 1285682252
LBN Legal business name Anderson, Terry A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 6th, 2013 - about 11 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 1285682252 NPPES
Kansas MEDICAID 200517140C

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