Healthcare Provider Details

I. General information

NPI: 1407849193
Provider Name (Legal Business Name): TERRIE LYNN EDWARDS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N OWEN WALTERS BLVD
SALINA OK
74365-5003
US

IV. Provider business mailing address

900 N OWEN WALTERS BLVD
SALINA OK
74365-5003
US

V. Phone/Fax

Practice location:
  • Phone: 918-434-8500
  • Fax: 918-434-5051
Mailing address:
  • Phone: 918-434-8500
  • Fax: 918-434-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0039078
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: