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Organization

SUNSHINE CLINIC

Active
Parent organization
NORMAN LEGACY VENTURES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORMAN LEGACY VENTURES LLC
Authorized official
KATARINA NORMAN APRN-CNP (OWNER)
(918) 443-7137
Entity
Organization

Contact information

Practice address
1728 S CARSON AVE UNIT C, TULSA, OK 74119-4610
(918) 932-8266
(918) 306-8002
Mailing address
736 N LEWIS PL, TULSA, OK 74110-5355
(918) 443-7137
(918) 306-8002

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201188580A
OK
Enumeration date
06/27/2025
Last updated
06/27/2025
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