Provider Demographics
NPI:1336285709
Name:MCGUIRK, TERRY MARIE (MSN WHNP)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:MARIE
Last Name:MCGUIRK
Suffix:
Gender:F
Credentials:MSN WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8027
Mailing Address - Country:US
Mailing Address - Phone:757-548-8494
Mailing Address - Fax:
Practice Address - Street 1:1009 SEVILLE DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-8027
Practice Address - Country:US
Practice Address - Phone:757-548-8494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001188915363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology