Terrell, Stephanie

Terrell, Stephanie is an sole proprietor health care provider with primary practice located at 2273 E Gala St Ste. 110, Meridian ID 83642-7289. 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. Terrell, Stephanie can be contacted via phone (208) 995-4449.

Contact Information

Primary practice address
2273 E Gala St Ste. 110 Meridian ID 83642-7289
Phone: (208) 995-4449
Fax: (208) 288-4339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP681A Idaho

Profile Details

NPI number 1336127190
LBN Legal business name Terrell, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Aug 20th, 2013 - about 13 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 1336127190 NPPES
Idaho Other 000010152588 BLUE SHIELD
Idaho Other NPWJ2 BLUE SHIELD
Idaho Other NPWK0 BLUE SHIELD
Idaho MEDICAID 807287100 BLUE SHIELD
Idaho Other 000010152589 BLUE SHIELD

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