Individual
MRS. MICHAELA DONIELLE MCKEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2308
Mailing address
4916 E EL PASO ST, BROKEN ARROW, OK 74014-1958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0122892
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
215225
OK
Other
Enumeration date
09/18/2023
Last updated
06/13/2024
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