| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STACY TERAN | 1154067650 | 2022-05-08 |
Stacy Teran is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154067650. Registration indicates Stacy Teran is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Stacy Teran FNP-BC |
| Practice Office Address | 127 UNION ST STE 105 RIDGEWOOD, NJ US |
| Practice Office Telephone | 9733211670 |
| Mailing Address | 104 RIDGEVIEW DR WOODLAND PARK, NJ 074242720 US |
| Business Telephone | 2015753225 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 104 Ridgeview Dr | Woodland Park, NJ 074242720 | 2015753225 |
| Code | Practice | License No State |
|---|---|---|
| 363LP2300X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 26NJ01309100
NJ |