Provider Demographics
NPI:1245785849
Name:SHIRVANI, TERRY (ND)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:
Last Name:SHIRVANI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:KS
Mailing Address - Zip Code:66724-0045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 S. CYPRESS
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:KS
Practice Address - Zip Code:66724
Practice Address - Country:US
Practice Address - Phone:561-886-7302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath