Individual
MR. TERRY JAY PEURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
795 E LANCASTER AVE STE 210, VILLANOVA, PA 19085-1525
(215) 254-6000
(215) 754-1705
Mailing address
807 S PROVIDENCE RD, WALLINGFORD, PA 19086-7213
(610) 874-4403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP004910D
PA
363LP0200X
Pediatric Nurse Practitioner
TP004910D
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
TP004910D
PA
Other
Enumeration date
03/30/2007
Last updated
01/29/2025
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