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Individual

THERESA ANNE FLOWERETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, NP-C

Contact information

Practice address
1230 W MAIN ST STE B, PAWHUSKA, OK 74056-5911
(918) 604-5108
(918) 287-9113
Mailing address
1230 W MAIN ST STE B, PAWHUSKA, OK 74056-5911
(918) 287-9112
(918) 287-9113

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R0070154
OK
363LF0000X
Family Nurse Practitioner
Primary
70154
OK

Other

Enumeration date
07/26/2006
Last updated
04/28/2020
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