Individual
MRS. TERRI JEAN VAN STAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5900 S LAKE FOREST DR STE 300, MCKINNEY, TX 75070-2238
(972) 890-3112
Mailing address
5900 S LAKE FOREST DR STE 300, MCKINNEY, TX 75070-2238
(972) 890-3112
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
675908
TX
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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