Individual
NANA BEDUA TETTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 ASH NW, PIEDMONT, OK 73078-9769
(405) 642-0510
Mailing address
178 ASH NW, PIEDMONT, OK 73078-9769
(405) 642-0510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88294
OK
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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