Durley, Theresa M

Durley, Theresa M is an sole proprietor health care provider with primary practice located at 1401 Presque Isle Avenue Health Center - Lower Gries, Marquette MI 49855. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Durley, Theresa M can be contacted via phone (906) 227-2355.

Contact Information

Primary practice address
1401 Presque Isle Avenue Health Center - Lower Gries Marquette MI 49855
Phone: (906) 227-2355
Fax: (906) 227-2332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704131080 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704131080 Michigan

Profile Details

NPI number 1194707448
LBN Legal business name Durley, Theresa M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Feb 14th, 2019 - about 6 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 1194707448 NPPES
Michigan MEDICAID 104654110
Michigan Other 44337600
Michigan Other TD131080

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