Individual
TAMA DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59763
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59763
APRN LICENSE
OK
Enumeration date
05/07/2015
Last updated
06/20/2019
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