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NPI Code Detail

MEDICARE: TERRI-ANN MCLEAN NP

MEDICARE: TERRI-ANN MCLEAN NP
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
1163W00000XRegistered Nurse545260-1NY
2363LF0000XFamily Nurse PractitionerF342153-1NY

General Provider Information

NPI Number : 1699046243
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI-ANN MCLEAN NP
Provider Business Mailing Address
First Line : 12 TIBBITS AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-2438
Country : US
Telephone Number : 914-287-7200
Fax Number :
Provider Business Practice Location Address
First Line : 12 TIBBITS AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-2438
Country : US
Telephone Number : 914-287-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 12/06/2017

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