Individual
TERRY L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
940 N.E. 13TH STREET, SUITE 3000, OKLAHOMA CITY, OK 73104-5099
(405) 271-7498
(405) 271-4328
Mailing address
4900 S. MONACO ST, SUITE 210, DENVER, CO 80237-3486
(405) 271-7498
(405) 271-4328
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
65023
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200078150A
—
OK
Enumeration date
07/14/2006
Last updated
09/16/2013
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