Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | C8043242 | OK |
Y | 176B00000X | Midwife | CNM 11160 | OK |
N | 176B00000X | Midwife | R0055332 | OK |
NPI | 1023210408 |
---|---|
Provider Name | Ms. Netri Nit Aru Teref Ta |
First Address | Oklahoma City, OK 73126-8986 |
Second Address | Oklahoma City, OK 73103-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 14/03/2016 |