Individual
TERA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N MAIN ST, EL DORADO, KS 67042-2024
(316) 321-6036
(316) 321-6336
Mailing address
524 N MAIN ST, EL DORADO, KS 67042-2024
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
76916
KS
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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