Healthcare Provider Details

I. General information

NPI: 1043565815
Provider Name (Legal Business Name): VERONICA TERAN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA TERAN PUENTE CPNP

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 MESA DR
DENTON TX
76207-3459
US

IV. Provider business mailing address

4401 N INTERSTATE 35 UNIT 312
DENTON TX
76207-3318
US

V. Phone/Fax

Practice location:
  • Phone: 940-381-1501
  • Fax: 940-591-7830
Mailing address:
  • Phone: 940-381-1501
  • Fax: 940-566-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP122036
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: