Individual
DACIA ELISE CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-2981
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105144
OK
Other
Enumeration date
02/27/2018
Last updated
10/14/2024
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