Individual
DACHAUNDA TWYNETTE PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1055 S HOUSTON AVE W, TULSA, OK 74127-9014
(918) 921-3200
Mailing address
706 NORTH COUNTRY CLUB DRIVE, TULSA, OK 74127
(918) 855-3826
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
87077
OK
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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