Individual provider · Type 1 NPI
Terena S. Stidham, CFNP
Family Nurse Practitioner · Detroit, AL
NPI number
1861443087
Active
Practice location
65345 Hwy 17
Detroit, AL 35552
Fax (205) 273-4058
Mailing address
123 Main St N
Amory, MS 38821-3416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R857697 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 1-081469 (AL) |
| Family Nurse Practitioner | 363LF0000X | 2005009897-22 (AL) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Detroit
About NPI 1861443087
Terena S. Stidham, CFNP's National Provider Identifier is 1861443087, issued on May 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, AL. The record was last updated on Sep 24, 2012.