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NPI 1699638619

NPI 1699638619 : TERELLE NICOLE STERLING PMHNP : WASILLA, AK

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General NPI Number Information
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    NPI Number           |    1699638619
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    Entity Type          |    Individual 
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    Provider Name        |    TERELLE NICOLE STERLING PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    3831 E BLUE LUPINE DR STE C 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-8461
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    Country              |    US
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    Telephone            |    907-215-4846
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    Fax                  |    907-215-4847
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Provider Business Mailing Address
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    Address Line         |    7227 E BASELINE RD STE 126 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85209-5006
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    Country              |    US
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    Telephone            |    907-215-4846
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    Fax                  |    907-215-4847
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    209614
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    License Number State |    AK
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