Provider Demographics
NPI:1508656182
Name:TERP, ANTHONY NELSON
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:NELSON
Last Name:TERP
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 1:1580 SAINT TROPEZ CIR
Mailing Address - Street 2:
Mailing Address - City:YUTAN
Mailing Address - State:NE
Mailing Address - Zip Code:68073-3102
Mailing Address - Country:US
Mailing Address - Phone:402-301-1658
Mailing Address - Fax:
Practice Address - Street 1:1580 SAINT TROPEZ CIR
Practice Address - Street 2:
Practice Address - City:YUTAN
Practice Address - State:NE
Practice Address - Zip Code:68073-3102
Practice Address - Country:US
Practice Address - Phone:402-301-1658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide