Provider Demographics
NPI:1881427680
Name:MCCUIEN, TERRI AUJ'RAE (PCD, CBD)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:AUJ'RAE
Last Name:MCCUIEN
Suffix:
Gender:F
Credentials:PCD, CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 6TH ST APT 602
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-6624
Mailing Address - Country:US
Mailing Address - Phone:501-269-7212
Mailing Address - Fax:
Practice Address - Street 1:410 6TH ST APT 602
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-6624
Practice Address - Country:US
Practice Address - Phone:501-269-7212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X, 261QF0050X, 376J00000X
AC-5163-30770165374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No376J00000XNursing Service Related ProvidersHomemaker