Individual
TERRY J BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM, PHD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R20970
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701575
MEDICA #
ND
01
—
0702337
MEDICA #
ND
01
—
12070
NDBS #
ND
01
—
142324
UCARE #
ND
05
—
19500
—
ND
05
—
569740900
—
ND
01
—
900339
AMERICA'S PPO/ARAZ #
ND
01
—
9D420BU
MNBS #
ND
01
—
9D421BU
MNBS #
ND
01
—
DA9011015515
PREFERRED ONE #
ND
01
—
HP25721
HEALTHPARTNERS #
ND
01
—
ND200077
LHS #
ND
Enumeration date
06/26/2006
Last updated
08/17/2011
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