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Individual

MRS. TERRY ALICIA LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001743A
IN
363LF0000X
Family Nurse Practitioner
71001743A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201909694NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
71001743A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200974580
IN
05
201112400
IN
Enumeration date
10/11/2006
Last updated
11/21/2022
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