Leiser-Gross, Terri Lynn

Leiser-Gross, Terri Lynn is an individual health care provider with primary practice located at 1511 Truman Ave , Key West FL 33040-7252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Leiser-Gross, Terri Lynn can be contacted via phone (305) 294-4004.

Contact Information

Primary practice address
1511 Truman Ave Key West FL 33040-7252
Phone: (305) 294-4004
Fax: (305) 294-2197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9334983 Florida

Profile Details

NPI number 1669446910
LBN Legal business name Leiser-Gross, Terri Lynn
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 30th, 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 1669446910 NPPES
Florida Other 12152659 MULTIPLAN
Florida Other 2075021 MULTIPLAN
Florida Other 4UNO2 MULTIPLAN
Florida Other 1669446910 MULTIPLAN
Florida MEDICAID 108745100 MULTIPLAN

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