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Individual

TERRY J BURRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNM, PHD

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
Update your record

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