Provider Demographics
NPI:1790127397
Name:HERRIAN, TERRI L (NP-C)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:HERRIAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:L
Other - Last Name:HERRIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:500 E ROBINSON ST STE 800
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6681
Mailing Address - Country:US
Mailing Address - Phone:405-321-1004
Mailing Address - Fax:
Practice Address - Street 1:500 E ROBINSON ST STE 800
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6681
Practice Address - Country:US
Practice Address - Phone:405-321-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK79034363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health