Theresa L Sexton, RN
Individual provider Active NPI Registered Nurse · Eagle Point, OR
NPI 1083980650 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1083980650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 08600325RN (OR)
- Practice address
- 3500 E Antelope Rd
Eagle Point, OR 97524-7875 - Phone
- (541) 826-5818
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08600325RN | OR | MD | Registered Nurse |
| 658775-3102 | UT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 08600325RN | OR | Yes |
| Registered Nurse | 163W00000X | 658775-3102 | UT |
Addresses
Primary practice location
3500 E Antelope Rd
Eagle Point, OR 97524-7875
Mailing address
3500 E Antelope Rd
Eagle Point, OR 97524-7875
Phone (541) 826-5818
Other providers in Eagle Point, OR
- Rogue Community Health
- Judy Alethe Rudy
- Amanda Salas
- Jennifer D Schnell
- Brandon Matthew Schultz
- Dean Albert Shrock
- Kimberly A Skomerza
- Karen Irene Smith
- Zane Smith
- Mahabbat Snell
All providers in Eagle Point, OR · Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.