Provider Demographics
NPI:1487689964
Name:THURM, TERRIE LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:TERRIE
Middle Name:LYNN
Last Name:THURM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TERRIE
Other - Middle Name:LYNN
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:312 9TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-2929
Mailing Address - Country:US
Mailing Address - Phone:319-483-4074
Mailing Address - Fax:319-352-8034
Practice Address - Street 1:312 9TH ST SW
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-2929
Practice Address - Country:US
Practice Address - Phone:319-483-4074
Practice Address - Fax:319-352-8034
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF-055109363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2419242Medicaid
P10287Medicare UPIN
IA2419242Medicaid