Individual
CHERALYN MAE REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 712-0859
Mailing address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
114961
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323940
—
OK
Enumeration date
01/08/2018
Last updated
01/24/2018
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