Individual
MRS. RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
(918) 858-0290
Mailing address
1921 E 133RD CT, BIXBY, OK 74008-1089
(918) 798-0790
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
210399
OK
Other
Enumeration date
09/23/2022
Last updated
11/25/2024
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