Provider Demographics
NPI:1295728558
Name:ENGLISH, TERRY WINSTON (CRNA)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:WINSTON
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5900 TRUMPET SOUND CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1265
Mailing Address - Country:US
Mailing Address - Phone:919-618-2034
Mailing Address - Fax:410-730-3175
Practice Address - Street 1:5900 TRUMPET SOUND CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1265
Practice Address - Country:US
Practice Address - Phone:919-618-2034
Practice Address - Fax:410-730-3175
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC162683367500000X
MDR200461367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36-4382785OtherTAX ID
NC2616853KMedicare PIN