Provider Demographics
NPI:1225060544
Name:OSWEILER, TERESA ANN (RD/LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:ANN
Last Name:OSWEILER
Suffix:
Gender:F
Credentials:RD/LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15713 HIMALAYA RDG
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8881
Mailing Address - Country:US
Mailing Address - Phone:405-844-6351
Mailing Address - Fax:
Practice Address - Street 1:9636 N MAY AVE
Practice Address - Street 2:SUITE 279
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2727
Practice Address - Country:US
Practice Address - Phone:405-848-9344
Practice Address - Fax:405-302-0333
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLD1025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK301582918002OtherBLUECROSS BLUESHIELD PPO
OK7641171OtherAETNA
OKC6036OtherBLUELINCS