Unknown Individual – Family Nurse Practitioner, NPI 1619953411
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Ernest Childers VA Outpatient Clinic, 9322, East 41st Street, Tulsa, Tulsa County, Oklahoma, 74145, United States
ERNEST CHILDERS VA OUT PATIENT CLINIC
TULSA, OK 741453721
Phone: (918) 628-2500
Type: Location
East 89th Street, Broken Arrow, Wagoner County, Oklahoma, 74014, United States
BROKEN ARROW, OK 740146121
Phone: (573) 647-6488
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74145)
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