Individual
LEAH DIANNE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
1120 S UTICA AVE STE 2123, TULSA, OK 74104
(918) 579-5402
Mailing address
1120 S UTICA AVE STE 2123, TULSA, OK 74104-4012
(918) 579-5402
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
107046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200872570A
—
OK
Enumeration date
11/19/2018
Last updated
06/24/2024
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