VERONICA TERAN, CPNP - NPI NUMBER 1043565815

Summary

Provider Name: VERONICA TERAN, CPNP

NPI Number: 1043565815

Clasification: Nurse Practitioner (363LP0200X)

Specialization: Pediatrics

Address:
1111 W AIRPORT FWY STE 143
IRVING, TX
ZIP 75062

Phone Number: (469) 488-4500



Detailed Information

Veronica Teran, CPNP is a pediatrics nurse practitioner in Irving, TX. The assigned NPI number for this provider is 1043565815 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1111 W AIRPORT FWY STE 143
IRVING, TX
ZIP 75062-204
Phone: (469) 488-4500
Fax: (469) 488-4501

The enumeration date for this NPI number is 7/18/2012 and was last updated on 9/25/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363LP0200X Nurse Practitioner Pediatrics 728994 TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1043565815
2 Entity Type Code 1
3 Provider Last Name Legal Name TERAN
4 Provider First Name VERONICA
5 Provider Credential Text CPNP
6 Provider Other Last Name PUENTE
7 Provider Other First Name VERONICA
8 Provider Other Middle Name TERAN
9 Provider Other Credential Text CPNP
10 Provider Other Last Name Type Code 1
11 Provider First Line Business Practice Location Address 1111 W AIRPORT FWY STE 143
12 Provider Business Practice Location Address City Name IRVING
13 Provider Business Practice Location Address State Name TX
14 Provider Business Practice Location Address Postal Code 750626204
15 Provider Business Practice Location Address Country Code If outside U S US
16 Provider Business Practice Location Address Telephone Number 4694884500
17 Provider Business Practice Location Address Fax Number 4694884501
18 Provider Enumeration Date 7/18/2012
19 Last Update Date 9/25/2013
20 Provider Gender Code F
21 Healthcare Provider Taxonomy Code 1 363LP0200X
22 Provider License Number 1 728994
23 Provider License Number State Code 1 TX
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.