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TERESA GENTRY APRN C-NP CWON NPI 1477119048


NPI Information

NPI: 1477119048
Provider Name: TERESA GENTRY, APRN, C-NP, CWON
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2500 CANYON RD STE 3
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 444-1454
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Teresa Gentry, APRN, C-NP, CWON is an adult health nurse practitioner in Bullhead City, AZ with 17 years of experience. Teresa Gentry, APRN, C-NP, CWON NPI is 1477119048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 CANYON RD STE 3
BULLHEAD CITY, AZ
ZIP 86442-624
Phone: (928) 444-1454
Fax: (928) 444-1481

The NPI 1477119048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 5/19/2019 and was last updated on 10/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1363LA2200XNurse PractitionerAdult Health70008OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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.