Theresa R Basham-taylor LPN

NPI 1215201967 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1215201967
Gender Female
Enumeration Date 02/28/2012
Last Updated 02/28/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5550 S GARNETT RD
TULSA OK, 74146-6831, US
Phone (918) 665-2501
Fax (918) 665-3966
Business Location
3518 E VIRGIN PL
TULSA OK, 74115-3922, US
Phone (918) 665-2501
Fax (918) 665-3966
Toxanomy
Taxonomy Code 164W00000X
License State Oklahoma
License Number 0050354
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According to our database, Mrs. Theresa R Basham-taylor LPN NPI is 1215201967, taxonomy code is 164W00000X and license number is 0050354, license state is located at Oklahoma. Theresa R Basham-taylor LPN physically located at 5550 S Garnett Rd, Tulsa OK, 74146-6831. NPI Number Theresa R Basham-taylor LPN has the Individual type.

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1215201967 NPI number is provided on an as is basis without warranty of any kind. 1215201967 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa R Basham-taylor LPN are for informational purposes only.