Individual
TEEIA STROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1109 LINDSEY LN, MOORE, OK 73160-8456
(405) 778-0031
Mailing address
1109 LINDSEY LN, MOORE, OK 73160-8456
(405) 778-0031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0112399
OK
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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