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Individual
MS. TERRIE LYNN FAKE
Active
Individual
MS. TERRIE LYNN FAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN765302
PA
164W00000X
Licensed Practical Nurse
Primary
PN264132
PA
Other
Enumeration date
04/11/2007
Last updated
10/06/2026
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