Individual
KATHERINE CLARE NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
9001 S 101ST EAST AVE, SUITE 230, TULSA, OK 74133-5708
(918) 392-5470
(918) 294-6851
Mailing address
5730 E 102ND ST, TULSA, OK 74137
(918) 625-6351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88936
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200575490A
—
OK
Enumeration date
09/06/2014
Last updated
08/23/2017
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