Individual
THERESA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-3667
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-3667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220836
OK
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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