Individual
CARRIE ANN TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 24TH AVE S SUITE 300, RIVERSIDE PROF BLDG, MPLS, MN 55454
(612) 273-7111
(612) 273-7112
Mailing address
606 24TH AVE S SUITE 300, RIVERSIDE PROF BLDG, MPLS, MN 55454
(612) 273-7111
(612) 273-7112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40822
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062458
—
MT
01
—
07-00036
MEDICA PRIMARY
MN
01
—
07-02916
MEDICA CHOICE
MN
01
—
095968
FAIRVIEW
MN
01
—
1020433
PREFERRED ONE
MN
01
—
123579
UCARE
MN
01
—
248J9TE
BLUE CROSS BLUE SHIELD
MN
05
—
357724400
—
MN
01
—
852871
ARAZ
MN
01
—
HP28745
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
05/04/2012
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