Individual
MRS. TERESA ANN OSWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD, CDE
Contact information
Practice address
9636 N MAY AVE, SUITE 279, OKLAHOMA CITY, OK 73120-2727
(405) 848-9344
(405) 302-0333
Mailing address
15713 HIMALAYA RDG, EDMOND, OK 73013-8881
(405) 844-6351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD1025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301582918002
BLUECROSS BLUESHIELD PPO
OK
01
—
7641171
AETNA
OK
01
—
C6036
BLUELINCS
OK
Enumeration date
07/07/2006
Last updated
07/09/2007
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