Individual
MARY KATHERINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1919 S WHEELING AVE STE 100, TULSA, OK 74104-5637
(918) 748-7890
Mailing address
1919 S WHEELING AVE, LL, TULSA, OK 74104
(918) 748-7890
(918) 293-3137
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2957
OK
Other
Enumeration date
02/13/2019
Last updated
04/26/2019
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