Individual
DR. ANDREW RYAN SKOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
550 W 125TH PL S STE 200, GLENPOOL, OK 74033-5026
(918) 224-7305
Mailing address
11001 E 13TH ST, TULSA, OK 74128-4221
(405) 762-2563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0116201
OK
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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