Individual
CHARLON ANNETTE ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2950 S ELM PL STE 120, BROKEN ARROW, OK 74012-7816
(918) 451-5191
(918) 246-5714
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000941910A
—
OK
Enumeration date
08/28/2020
Last updated
01/24/2023
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