Individual
AMANDA DAWN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6585 S YALE AVE, SUITE 1150, TULSA, OK 74136-8384
(918) 494-9425
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
92576
OK
Other
Enumeration date
11/16/2015
Last updated
02/18/2016
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