Provider Demographics
NPI:1023284684
Name:MARKHAM, TERRI LYNN (FNP)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNN
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:303-357-2559
Mailing Address - Fax:720-242-7520
Practice Address - Street 1:9218 KIMMER DR STE 207
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6733
Practice Address - Country:US
Practice Address - Phone:720-493-9006
Practice Address - Fax:720-242-7520
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992678363LF0000X
CO0992678363LF0000X
WAAP60482138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L7596Medicare PIN
TX200165301Medicaid
OK200238270AMedicaid
TX8Y5555OtherTEXAS BCBS
AR176374758Medicaid
TX8L7596Medicare PIN