Provider Demographics
NPI:1447148069
Name:OSS, TERA (RNC-OB, IBCLC, BSN)
Entity type:Individual
Prefix:
First Name:TERA
Middle Name:
Last Name:OSS
Suffix:
Gender:F
Credentials:RNC-OB, IBCLC, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 INTEGRIS PKWY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-8864
Mailing Address - Country:US
Mailing Address - Phone:918-853-1072
Mailing Address - Fax:
Practice Address - Street 1:204 NW 152ND ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2127
Practice Address - Country:US
Practice Address - Phone:918-853-1072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL-318707163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant