Individual
MRS. TRESA HENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 501-7700
Mailing address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 359-5470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96159
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
96159
OK
363LF0000X
Family Nurse Practitioner
96159
OK
Other
Enumeration date
10/06/2017
Last updated
01/10/2024
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