Most Relevant Information
Provider Data
| NPI Number: | 1003460452 |
| Provider Name: | SARA THERIAC APRN-CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 116331 |
Most Important Dates
| Enumeration Date: | 07/24/2019 |
| Last Updated: | 08/14/2022 |
Provider Practice Location
1055 S HOUSTON AVE
TULSA
OK
741279043
Practice Location Phone/Fax
| Phone: | 9189213200 |
| Fax: |
Provider Mailing Location
2325 S HARVARD AVE
TULSA
OK
741143300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |