Individual
MS. TERRYE LYNN BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP03952
LA
367500000X
Certified Registered Nurse Anesthetist
AP103228
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R0074891
OK
Other
Enumeration date
05/16/2006
Last updated
10/12/2023
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