Provider Demographics
NPI:1326057662
Name:TERPENING, NATHANIEL A
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:A
Last Name:TERPENING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 E MAYFLOWER LN STE 1
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7892
Mailing Address - Country:US
Mailing Address - Phone:907-357-6860
Mailing Address - Fax:907-357-6865
Practice Address - Street 1:5461 E MAYFLOWER LN STE 1
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7892
Practice Address - Country:US
Practice Address - Phone:907-357-6860
Practice Address - Fax:907-357-6865
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)