Individual
MRS. HALEIGH BROOKE WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
9716 RIVERSIDE PKWY, TULSA, OK 74137-7447
(918) 528-4897
Mailing address
738 W 97TH ST S, JENKS, OK 74037-3406
(918) 809-3514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207213
OK
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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