Individual
THERESA DIANNE STENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 S MACARTHUR BLVD, OKLAHOMA CITY, OK 73169-6908
(405) 680-4075
(405) 680-4095
Mailing address
11920 WICKFORD PL, YUKON, OK 73099-8390
(919) 480-7303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R80656
OK
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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