Individual
MRS. TEAGAN RAE DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
304 S 29TH STREET, CHICKASHA, OK 73018
(405) 896-8058
(844) 965-9881
Mailing address
3021 COUNTY STREET 2600, HINTON, OK 73047
(405) 545-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102643
OK
363LF0000X
Family Nurse Practitioner
Primary
102643
OK
Other
Enumeration date
01/07/2016
Last updated
08/16/2016
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