Most Relevant Information
Provider Data
| NPI Number: | 1003244294 |
| Provider Name: | SUE E. TERRY NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2013034506 |
Most Important Dates
| Enumeration Date: | 10/24/2013 |
| Last Updated: | 03/11/2019 |
Provider Practice Location
6524 SE QUAKERVALE RD
RIVERTON
KS
667704214
Practice Location Phone/Fax
| Phone: | 6208482380 |
| Fax: | 6208482381 |
Provider Mailing Location
210 NE TUDOR RD
LEES SUMMIT
MO
640865696
Provider Mailing Phone/Fax
| Phone: | 8882563814 |
| Fax: | 8882569054 |