Individual
GLORIA MEWBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
10100 S. MINGO RD., TULSA, OK 74133
(918) 878-7733
Mailing address
3527 S LAKEWOOD AVE, TULSA, OK 74135-5317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217162
OK
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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