Individual
SANDRA RENEE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
9716 RIVERSIDE PKWY, TULSA, OK 74137-7447
(918) 528-4897
Mailing address
6120 E 75TH ST, TULSA, OK 74136-6917
(479) 858-2511
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125253
OK
Other
Enumeration date
07/25/2017
Last updated
10/30/2023
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