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NPI Code Detail

MEDICARE: THERESA LYNN GRESS APRN

MEDICARE: THERESA LYNN GRESS APRN
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
1363LA2100XAcute Care Nurse PractitionerR0100775OK

General Provider Information

NPI Number : 1598250508
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA LYNN GRESS APRN
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6475 S YALE AVE STE 308
Second Line :
City : TULSA
State : OK
Zip : 74136-7802
Country : US
Telephone Number : 918-499-4000
Fax Number : 918-499-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 06/24/2026

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Directions to “ THERESA LYNN GRESS APRN” Practice Location

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