Provider Demographics
NPI:1114372919
Name:TROESTER, EMILY DYE
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:DYE
Last Name:TROESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 COLCHESTER TER
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6452
Mailing Address - Country:US
Mailing Address - Phone:405-708-8393
Mailing Address - Fax:
Practice Address - Street 1:1105 COLCHESTER TER
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6452
Practice Address - Country:US
Practice Address - Phone:405-708-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator