Provider Demographics
NPI:1295018430
Name:COLEMAN, TERRA RACHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERRA
Middle Name:RACHELLE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TERRA
Other - Middle Name:RACHELLE
Other - Last Name:DENBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:550 S. PEORIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-3820
Mailing Address - Country:US
Mailing Address - Phone:918-588-1900
Mailing Address - Fax:918-382-1285
Practice Address - Street 1:550 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-3820
Practice Address - Country:US
Practice Address - Phone:918-382-1207
Practice Address - Fax:918-382-1285
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program