Individual
MIKAYLA FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6465 S YALE AVE, TULSA, OK 74136
(918) 488-6688
Mailing address
6465 S YALE AVE, TULSA, OK 74136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0136185
OK
363L00000X
Nurse Practitioner
Primary
229362
OK
Other
Enumeration date
06/10/2026
Last updated
06/18/2026
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