Individual
COURTNEY LYNN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
300 N DENVER AVE, TULSA, OK 74103
(918) 695-7809
Mailing address
6133 W 42ND ST, TULSA, OK 74107-6021
(918) 695-7809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73377
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
10/22/2012
Last updated
08/13/2018
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