Etter, Teresa Jeanne

Etter, Teresa Jeanne is an individual health care provider with primary practice located at 3568 Mcclaflin Dr , Enid OK 73701-7745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Etter, Teresa Jeanne can be contacted via phone (580) 234-7246.

Contact Information

Primary practice address
3568 Mcclaflin Dr Enid OK 73701-7745
Fax: (580) 233-2223
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X 50268 Oklahoma

Profile Details

NPI number 1598096646
LBN Legal business name Etter, Teresa Jeanne
Credentials APRN-CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2010
Last updated Aug 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598096646 NPPES
Oklahoma MEDICAID 200281660A

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