Doctor Name: | TERRY L EVERS |
NPI Number: | 1194042663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNP |
License Number: | R-171736-3 |
Business Practice Address: | 1321 13th Street N Central Minnesota Mental Health Center St Cloud, MN - 56303 |
Business Phone Number: | 3202525010 |
Business Fax Number: | |
Mailing Address: | 1321 13th St N, Central Minnesota Mental Health Center SAINT CLOUD |
State: | MN |
Postal Code: | 563032613 |
Phone Number: | 3202525010 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2010 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R-171736-3 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |