Individual
DR. MICHAEL JAMES TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP, PMHNP
Contact information
Practice address
809 ISLAND CT, SAN DIEGO, CA 92109-7710
(415) 637-1810
Mailing address
809 ISLAND CT, SAN DIEGO, CA 92109-7710
(415) 637-1810
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
28980
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
546
CA
363LF0000X
Family Nurse Practitioner
3808
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3808
CA
Other
Enumeration date
12/15/2005
Last updated
12/14/2022
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