Provider Demographics
NPI:1023303500
Name:STURM, TERRY ANN MARCEN (CRNP)
Entity type:Individual
Prefix:
First Name:TERRY ANN
Middle Name:MARCEN
Last Name:STURM
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FLORALA
Mailing Address - State:AL
Mailing Address - Zip Code:36442-3231
Mailing Address - Country:US
Mailing Address - Phone:334-858-2050
Mailing Address - Fax:
Practice Address - Street 1:1073 3RD ST
Practice Address - Street 2:
Practice Address - City:FLORALA
Practice Address - State:AL
Practice Address - Zip Code:36442-3231
Practice Address - Country:US
Practice Address - Phone:334-858-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-106936363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology