Terena S Stidham in Amory - Family

Terena S Stidham - NPI 1861443087

Terena S Stidham is a Family in Amory, Mississippi. Terena S Stidham practices all healthcare services and medical treatments related to Family. The NPI Number for Terena S Stidham is 1861443087. The last update date is 2012-09-24.

Terena S Stidham's current location address is 123 Main St N, Amory, Mississippi. You can contact this provider via phone number 6622567112 and fax number 6622567116. The mailing address for Terena S Stidham is 123 Main St N, Amory, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Terena S Stidham
Address 123 Main St N, Amory, Mississippi
Phone Number 6622567112
Fax Number 6622567116
Sole Proprietor N
Credentials CFNP

NPI Number Detail

NPI Number 1861443087
Provider Enumeration Date 2006-05-12
Last Updated Date 2012-09-24

Provider Mailing Address Detail

Address 123 Main St N
City Amory
State Mississippi (MS)
Post Code 388213416
Phone Number 6622567112
Fax Number 6622567116

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R857697
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Terena S Stidham

What is the Terena S Stidham's unique identification number?

The Terena S Stidham has been assigned the NPI (National Provider Identifier) Number 1861443087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Terena S Stidham's facilities are geographically located?

The facilities of Terena S Stidham are physically situated at the following location: 123 Main St N, Amory, MS, 388213416.

What is Terena S Stidham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Terena S Stidham's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Terena S Stidham receive its 1861443087 assignment from the Centers for Medicare & Medicaid Services?

The Terena S Stidham was assigned its 1861443087 by the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date was the information regarding Terena S Stidham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Terena S Stidham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-24.

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