Provider / Organization | NPI | Date Certified |
---|---|---|
SARA THERIAC | 1003460452 | 2022-08-14 |
Sara Theriac is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003460452. Registration indicates Sara Theriac is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Sara Theriac APRN-CNP |
Practice Office Address | 1055 S HOUSTON AVE TULSA, OK US |
Practice Office Telephone | 9189213200 |
Mailing Address | 2325 S HARVARD AVE TULSA, OK 741143300 US |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 116331
OK |
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 208823
OK |