TERESA JEANNE ETTER (NPI# 1598096646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598096646 |
Entity Type | Individual |
Full Name | TERESA JEANNE ETTER |
Credential | APRN-CNS |
Practice Address |
3568 Mcclaflin Dr Enid OK 73701-7745 |
Mailing Address |
427e Cherokee Ave Enid OK 73701-5823 |
Practice Telephone | 5802347246 |
Practice Fax Number | 5802332223 |
Mailing Telephone | 5802347246 |
Mailing Fax Number | 5802332223 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2015-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
50268 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200281660A | 05 |
Street Address |
3568 MCCLAFLIN DR |
City | ENID |
State | OK |
Zip Code | 73701-7745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982991519 | Elite Rn PC | Clinical Nurse Specialist | 3568 Mcclaflin Dr, Enid, OK 73701-7745 | 2011-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
Find all providers in zip 73701 |
Taxonomy Code | 364SC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457812752 | Amber Garretson | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-03-28 |
1689016131 | Jennifer Shepherd Kuwitzky | Clinical Nurse Specialist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2013-07-25 |
1023318185 | Lisa Darcell Davis | Clinical Nurse Specialist | 6161 S Yale Ave, Suite A100, Tulsa, OK 74136-1902 | 2010-10-23 |
1336477728 | Tamara Rae Brunk | Clinical Nurse Specialist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2009-11-24 |
Please comment or provide details below to improve the information on TERESA JEANNE ETTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.