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NPI Code Detail

MEDICARE: THERESE D MINER ARNP

MEDICARE:   THERESE D MINER  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR0062899OK

General Provider Information

NPI Number : 1033148697
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESE D MINER ARNP
Provider Business Mailing Address
First Line : PO BOX 740013
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0013
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 1918 NE 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73111-3328
Country : US
Telephone Number : 405-453-8000
Fax Number : 405-561-4984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 09/25/2023

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Directions to “ THERESE D MINER ARNP” Practice Location

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