Individual provider · Type 1 NPI

Theresa Foth

Licensed Practical Nurse · Bethany, OK

NPI number 1104647155 Active

Practice location

6612 NW 38th St Unit 396
Bethany, OK 73008-3483

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0045520 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104647155

Theresa Foth's National Provider Identifier is 1104647155, issued on Oct 22, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bethany, OK. The record was last updated on Oct 22, 2024.