Provider Demographics
NPI:1720362619
Name:TERPAY, KRISTEN E (PA)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:TERPAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20010 CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1115
Mailing Address - Country:US
Mailing Address - Phone:240-686-2300
Mailing Address - Fax:240-686-2330
Practice Address - Street 1:7600 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6367
Practice Address - Country:US
Practice Address - Phone:301-891-5070
Practice Address - Fax:301-891-6346
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2016-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0004605363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical