Individual
MS. TERESA RENE' NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2021 S LEWIS AVE, SUITE 710, TULSA, OK 74104-5733
(918) 749-9077
(918) 749-4041
Mailing address
5907 S KNOXVILLE AVE, TULSA, OK 74135-7806
(918) 749-6657
(918) 749-4041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
783
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11347067
CAQH UNIVERSAL CREDENTIAL
OK
Enumeration date
04/12/2007
Last updated
07/08/2007
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