Individual
TAYLOR C DELLA VECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13316 S WESTERN AVE STE F, OKLAHOMA CITY, OK 73170-7309
(405) 703-8882
Mailing address
12796 KATIE CT, CHOCTAW, OK 73020-4407
(405) 830-2291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116991
OK
363L00000X
Nurse Practitioner
Primary
116991
OK
Other
Enumeration date
10/17/2019
Last updated
03/04/2022
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