Provider Demographics
NPI:1215485537
Name:TERYN ANDY APRN LLC
Entity type:Organization
Organization Name:TERYN ANDY APRN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC NURSE PRACTITIONE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-798-8158
Mailing Address - Street 1:903 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040
Mailing Address - Country:US
Mailing Address - Phone:860-798-8158
Mailing Address - Fax:855-867-7006
Practice Address - Street 1:903 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040
Practice Address - Country:US
Practice Address - Phone:860-798-8158
Practice Address - Fax:855-867-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty