Individual
LISA DANIELLE GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 560-1399
Mailing address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
120851
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
18797
TN
Other
Enumeration date
07/09/2014
Last updated
08/03/2021
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