Individual
MRS. BROOKE VISSER MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, ACHPN
Contact information
Practice address
2204 E 47TH ST, TULSA, OK 74105-4921
(202) 415-2781
Mailing address
2204 E 47TH ST, TULSA, OK 74105-4921
(202) 415-2781
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0082734
OK
363L00000X
Nurse Practitioner
RN1007586
DC
Other
Enumeration date
10/23/2013
Last updated
11/10/2022
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