Provider Demographics
NPI:1750187399
Name:O'PRY-YOUNG, TERRY MARIE
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:MARIE
Last Name:O'PRY-YOUNG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 S H ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-2552
Mailing Address - Country:US
Mailing Address - Phone:308-870-0618
Mailing Address - Fax:
Practice Address - Street 1:424 S H ST
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-2552
Practice Address - Country:US
Practice Address - Phone:308-870-0618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider