Unknown Individual – Family Nurse Practitioner, NPI 1003301763
Family Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741363333
Phone: (918) 488-6687
Fax: (918) 488-6098
Type: Mailing
102, South Main Street, Sand Springs, Tulsa County, Oklahoma, 74063, United States
SAND SPRINGS, OK 74063
Phone: (918) 246-5750
Fax: (918) 246-5714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK |
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