Individual
SARAH BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3501 S YALE AVE, TULSA, OK 74135-8014
(918) 982-6250
Mailing address
3501 S YALE AVE, TULSA, OK 74135-8014
(281) 352-0537
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
117833
OK
363LW0102X
Women's Health Nurse Practitioner
AP132060
TX
Other
Enumeration date
10/11/2016
Last updated
05/10/2019
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