MEDICARE: MS. TERRY ANNETTE ASKEW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse	263705	NC
2	164W00000X	Licensed Practical Nurse	LP41443	MD

General Provider Information

NPI Number	:	1396896353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERRY ANNETTE ASKEW

Provider Business Mailing Address
First Line	:	1465 THOROUGHBRED TRL
Second Line	:
City	:	PARKTON
State	:	NC
Zip	:	28371-7701
Country	:	US
Telephone Number	:	757-214-1138
Fax Number	:

Provider Business Practice Location Address
First Line	:	1465 THOROUGHBRED TRAIL
Second Line	:
City	:	PARKTON
State	:	NC
Zip	:	28371
Country	:	US
Telephone Number	:	757-214-1138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	05/23/2016

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