Individual
HEATHER K NOWITZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
517 S 64TH ST, BROKEN ARROW, OK 74014-2664
(405) 397-3770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
12844
OK
Other
Enumeration date
07/31/2012
Last updated
07/10/2014
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