Doctor Name: | TERESSA HEADRICK LEMASTER |
NPI Number: | 1003146598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 70612 |
Business Practice Address: | 1705 E 19th St Suite 302 Tulsa, OK - 741045405 |
Business Phone Number: | 9187487585 |
Business Fax Number: | 9187487539 |
Mailing Address: | 1515 N Harvard Ave, Suite E TULSA |
State: | OK |
Postal Code: | 741154957 |
Phone Number: | 9188326051 |
Fax Number: | 9188326055 |
NPI Enumeration Date: | 01/05/2010 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2100X |
License Number: | 70612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |