Provider Demographics
NPI:1891676011
Name:FENT, TERRY
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:FENT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 POST MILL WAY
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:WV
Mailing Address - Zip Code:26150-0258
Mailing Address - Country:US
Mailing Address - Phone:681-551-9558
Mailing Address - Fax:
Practice Address - Street 1:92 POST MILL WAY
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:WV
Practice Address - Zip Code:26150-0258
Practice Address - Country:US
Practice Address - Phone:681-551-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide