Individual provider · Type 1 NPI
Tera Kay Waldroup, RN, APN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Hyannis, MA
NPI number
1710250055
Active
Practice location
94 Main St
Hyannis, MA 02601-3146
Fax (508) 771-1208
Mailing address
224 Patriot Way
Centerville, MA 02632-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2278241 (MA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 751298 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710250055
Tera Kay Waldroup, RN, APN, PMHNP's National Provider Identifier is 1710250055, issued on Feb 16, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hyannis, MA. The record was last updated on Dec 30, 2012.