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Individual

STACIE MARIE CORTRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

Contact information

Practice address
5323 S. 65TH WEST AVENUE, TULSA, OK 74107
(918) 340-5024
Mailing address
4402 WHISPERING CREEK DR, SAND SPRINGS, OK 74063-3175
(918) 851-5153

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201208
OK

Other

Enumeration date
03/09/2021
Last updated
03/09/2021
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