Elliott, Terri L

Elliott, Terri L is an individual health care provider with primary practice located at 689 Sierra Rose Dr Ste B , Reno NV 89511-2076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Elliott, Terri L can be contacted via phone (775) 323-3000.

Contact Information

Primary practice address
689 Sierra Rose Dr Ste B Reno NV 89511-2076
Fax: (775) 323-3001
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA923 Nevada

Profile Details

NPI number 1336111061
LBN Legal business name Elliott, Terri L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 24th, 2022 - 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 1336111061 NPPES
Nevada MEDICAID 100506909

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