Individual provider · Type 1 NPI
Theodora Violet Bekederemo, FNP
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1205667672
Active
Practice location
825 NE 10th St
Oklahoma City, OK 73104-5417
Fax (405) 271-3727
Mailing address
5204 N Linn Ave
Oklahoma City, OK 73112-8029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 217466 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205667672
Theodora Violet Bekederemo, FNP's National Provider Identifier is 1205667672, issued on Aug 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 31, 2024.