Individual
LAURA DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10505 E 91ST ST STE 208, TULSA, OK 74133-5829
(918) 494-8500
(918) 307-5578
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
76423
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13631
NP FURNISHING NUMBER
CA
01
—
76423
OK NP/PRESCRIPTIVE AUTHORITY
OK
Enumeration date
01/26/2007
Last updated
12/14/2023
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