Individual
ANCY JOHNSON PARACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 286-5000
(918) 249-7532
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 286-5000
(918) 249-7532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A0711086
OK
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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