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Individual

SUE E. TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
6524 SE QUAKERVALE RD, RIVERTON, KS 66770-4214
(620) 848-2380
(620) 848-2381
Mailing address
210 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(888) 256-3814
(888) 256-9054

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013034506
MO
363LF0000X
Family Nurse Practitioner
Primary
53-76136
KS

Other

Enumeration date
10/24/2013
Last updated
03/11/2019
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