Provider Demographics
NPI:1689476152
Name:TERRAZAS, KIRA MICHELLE (BSN, RN)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:MICHELLE
Last Name:TERRAZAS
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:
Other - First Name:KIRA
Other - Middle Name:MICHELLE
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5500 MING AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 N 1150 W
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-2062
Practice Address - Country:US
Practice Address - Phone:435-635-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12626016-3102163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT12626016-3102OtherLICENSE