Individual
NATHAN V CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
427 S BOSTON AVE, TULSA, OK 74103-4141
(918) 664-4224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
09/08/2025
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