Individual
BRIAN DAVID MORAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
215227
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
215227
OK
Other
Enumeration date
02/03/2022
Last updated
11/29/2023
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