Individual
CARLEEN D CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-7557
(918) 403-0383
Mailing address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-7557
(918) 403-0383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0076525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036720A
—
OK
05
—
200036720B
—
OK
Enumeration date
05/11/2006
Last updated
02/01/2019
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