Teresa L. Borremans, RN

Key facts

NPI

1679619985

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse 163WP0808X

License

R0032077 (OK)

Practice address

1024 S Muskogee Ave
Tahlequah, OK 74464-4734

Phone

(918) 456-8399

Fax

(918) 456-8773

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679619985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 S MUSKOGEE AVE",
            "address_2": "PO BOX 1247",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644734",
            "telephone_number": "918-456-8399",
            "fax_number": "918-456-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644734",
            "telephone_number": "918-456-8399",
            "fax_number": "918-456-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREMANS",
        "first_name": "TERESA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0032077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tahlequah, OK · Psychiatric/Mental Health Registered Nurse in Oklahoma