Individual
KHENI A BRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
7307 S YALE AVE, TULSA, OK 74136-7049
(918) 392-4550
Mailing address
12110 E 70TH ST N, OWASSO, OK 74055-7266
(918) 691-4706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109661
OK
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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