Individual
ELISSA SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP, APRN-CNP
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
14429 S HUDSON AVE, BIXBY, OK 74008-4074
(918) 695-1278
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
218715
OK
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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