Provider Demographics
NPI:1881557353
Name:TERRELL, DAVEN ELIZABETH (CPM, LM)
Entity type:Individual
Prefix:
First Name:DAVEN
Middle Name:ELIZABETH
Last Name:TERRELL
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1394 COUNTY ROAD A
Mailing Address - Street 2:
Mailing Address - City:PANHANDLE
Mailing Address - State:TX
Mailing Address - Zip Code:79068-7317
Mailing Address - Country:US
Mailing Address - Phone:806-662-4697
Mailing Address - Fax:
Practice Address - Street 1:1394 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:PANHANDLE
Practice Address - State:TX
Practice Address - Zip Code:79068-7317
Practice Address - Country:US
Practice Address - Phone:806-662-4697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99621176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife