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General NPI Number Information
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NPI Number | 1194042663
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Entity Type | Individual
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Provider Name | TERRY L EVERS APNP
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Gender | Male
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 11334 86TH AVE N
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4528
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Country | US
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Telephone | 763-233-8127
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Fax |
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Provider Business Mailing Address
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Address Line | N4857 GUSK RD
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City | TAYLOR
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State | WI
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Zip | 54659-7001
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Country | US
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Telephone | 763-233-8127
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R171736-3
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R-171736-3
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R171736-3
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11074-33
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP104
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License Number State | MN
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