MRS. TERA J GWALDIS


Address: 4570 County Road 13 S, Elkton, FL 32033-3402
Phone: 9044001678

MRS. TERA J GWALDIS (NPI# 1821696303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821696303
Entity Type Individual
Full Name MRS. TERA J GWALDIS
Credential APRN
Practice Address 4570 County Road 13 S
Elkton
FL 32033-3402
Practice Telephone 9044001678
Mailing Telephone 9044001678
Enumeration Date 2020-10-15
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11009720 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4570 COUNTY ROAD 13 S
City ELKTON
State FL
Zip Code 32033-3402

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1558349704 Christine M Beck Speech-Language Pathologist 4421 Eagle Creek Ct, Elkton, FL 32033-2063 2006-01-06
1548724271 Samantha Murray Specialist/Technologist 4609 Onion Creek Ct, Elkton, FL 32033-2066 2019-01-28
1619007531 Megan Miller Sypolt Speech-Language Pathologist 4820 Innisbrook Ct S, Elkton, FL 32033-2067 2007-03-07
1316091093 Jessica S Dugan Specialist 4813 Innisbrook Ct S, Elkton, FL 32033-2067 2007-01-22
1780627620 Wendy Renee Crawford Speech-Language Pathologist 4829 Innisbrook Ct S, Elkton, FL 32033-2067 2006-06-14
1356735245 I Teach Speech, LLC Speech-Language Pathologist 4820 Innisbrook Ct S, Elkton, FL 32033-2067 2015-03-27
1174750038 Melinda Voguit Clark Occupational Therapist 4829 Innisbrook Ct S, Elkton, FL 32033-2067 2009-06-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558920488 Dana Nall Nurse Practitioner 713 West Main Street Eklton, Ky 42220, Elkton, KY 42350 2019-06-13
1891299228 Christina M Dotson Nurse Practitioner 4545 Golf Ridge Dr, Elkton, FL 32033-4011 2018-03-21
1215486972 Betty J. Battaglia Nurse Practitioner 90 Clear Creek Gln, Elkton, MD 21921-6764 2016-09-22
1225429384 Cagney Skipworth Nurse Practitioner 13000 Greenville Rd, Elkton, KY 42220-9625 2015-02-11
1669874632 Loriann Washburn Nurse Practitioner 104 Northside Plz, Elkton, MD 21921-5320 2014-09-22
1558779702 Ann Herford Nurse Practitioner 491 N Elkton Rd, Elkton, MI 48731-9727 2014-07-31
1316369721 Joy Ponferrada Magee Nurse Practitioner 300 E Pulaski Hwy Ste 112, Elkton, MD 21921-6737 2014-01-21
1851733992 Sarah Ashley Beam Nurse Practitioner 810 South Main Street, Elkton, KY 42220-0263 2013-07-17
1619241072 Melissa Ann Hackett Nurse Practitioner 111 High Str, Suite 104, Elkton, MD 21921 2012-03-02
1134126626 Peter Hill Nurse Practitioner 115 E Rockingham St, Elkton, VA 22827-1522 2005-06-30
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Competitor

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City ELKTON
Zip Code 32033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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