Individual
MR. TREVOR SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3808 E 51ST ST, TULSA, OK 74135-3657
(918) 494-1305
Mailing address
3808 E 51ST ST, TULSA, OK 74135-3657
(918) 494-1305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
84683
OK
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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