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Individual

MRS. ELIZABETH NICOLE THIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CPNP

Contact information

Practice address
7711 E. 111TH ST, SUITE 111, TULSA, OK 74133
(918) 394-5437
Mailing address
7711 E. 111TH ST SUITE 111, SUITE 111, TULSA, OK 74133
(918) 394-5439

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2013042564
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
88857
OK

Other

Enumeration date
04/05/2012
Last updated
12/03/2013
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