Individual
MS. STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6465 S YALE AVE STE 401, TULSA, OK 74136-7806
(918) 582-3154
Mailing address
6465 S YALE AVE STE 401, TULSA, OK 74136-7806
(918) 582-3154
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0065008
OK
Other
Enumeration date
01/25/2012
Last updated
05/26/2021
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