Provider Demographics
NPI:1437588084
Name:DREW, TERRI JOAN (NP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:JOAN
Last Name:DREW
Suffix:
Gender:F
Credentials:NP
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 452
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-0452
Mailing Address - Country:US
Mailing Address - Phone:415-377-5006
Mailing Address - Fax:707-401-1138
Practice Address - Street 1:103 MORRIS ST STE L
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-3864
Practice Address - Country:US
Practice Address - Phone:707-321-0231
Practice Address - Fax:707-401-1138
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21561363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health