Provider Demographics
NPI:1477269017
Name:SKEEN, TERA HEATHER (RN)
Entity Type:Individual
Prefix:
First Name:TERA
Middle Name:HEATHER
Last Name:SKEEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9018 LONESTAR RIVER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-2109
Mailing Address - Country:US
Mailing Address - Phone:281-639-1873
Mailing Address - Fax:
Practice Address - Street 1:9018 LONESTAR RIVER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-2109
Practice Address - Country:US
Practice Address - Phone:281-639-1873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX812321163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX812321OtherTEXAS BOARD OF NURSING REGISTERED NURSE