Doctor Name: | TERRI JOAN DREW |
NPI Number: | 1437588084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 21561 |
Business Practice Address: | 921 Oak Park Blvd Pismo Beach, CA - 934493264 |
Business Phone Number: | 8054749143 |
Business Fax Number: | |
Mailing Address: | 921 Oak Park Blvd, PISMO BEACH |
State: | CA |
Postal Code: | 934493264 |
Phone Number: | 8054749143 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 21561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |