Provider Demographics
NPI:1396043808
Name:ZETTS, TERRY FARMER (RN BSN)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:FARMER
Last Name:ZETTS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 CRABBS BRANCH WAY STE 350
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2623
Mailing Address - Country:US
Mailing Address - Phone:240-499-2614
Mailing Address - Fax:
Practice Address - Street 1:200 GIRARD ST STE 212
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3490
Practice Address - Country:US
Practice Address - Phone:301-216-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR082143163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse