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Individual

ADRIENNE NICOLE CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0127081
OK
363LF0000X
Family Nurse Practitioner
Primary
209821
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201098550A
OK
Enumeration date
06/23/2022
Last updated
02/23/2023
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