Individual
AMY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
308 EAST EATON AVE, CRIPPLE CREEK, CO 80813
(719) 687-6416
(719) 687-6501
Mailing address
PO BOX 364, 308 EAST EATON AVE, CRIPPLE CREEK, CO 80813
(719) 687-6416
(719) 687-6501
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
1637293
CO
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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