Terrie Lynn Rastovac, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN264132 Issued in PA

Practice address

913 E Oak St
Palmyra, PA 17078-2820

Phone

(717) 838-2407

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043433766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E OAK ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170782820",
            "telephone_number": "717-838-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E OAK ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170782820",
            "telephone_number": "717-838-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOVAC",
        "first_name": "TERRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN264132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany N Pfautz
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• Samuel F Rashid, M.D.
• Redner'S Markets Inc.
• Reliant Palmyra Holdings, LLC
• Kimberly Dorsey Remetta, PT
• Renal Treatment Centers Mid Atlantic Inc
• Resolve Counseling LLC

• Licensed Practical Nurse in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.