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Individual
TERRY I NEAL
Active
Individual
TERRY I NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000182
IN
363LP2300X
Primary Care Nurse Practitioner
71008383
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000781881
ANTHEM
IN
05
—
200116740
—
IN
Enumeration date
09/19/2005
Last updated
11/28/2023
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