Provider Demographics
NPI:1043565815
Name:TERAN, VERONICA (CPNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:TERAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:TERAN
Other - Last Name:PUENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:4401 N INTERSTATE 35 UNIT 312
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3318
Mailing Address - Country:US
Mailing Address - Phone:940-381-1501
Mailing Address - Fax:940-566-8059
Practice Address - Street 1:4308 MESA DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3459
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:940-591-7830
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122036363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303715207Medicaid