Individual
MRS. DEBORAH S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9322 E 41ST ST, TULSA, OK 74145-3721
(918) 628-2500
Mailing address
15105 N 68TH WEST AVE, SKIATOOK, OK 74070-4317
(918) 628-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95676
OK
363LA2200X
Adult Health Nurse Practitioner
Primary
95676
OK
363LG0600X
Gerontology Nurse Practitioner
95676
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95676
STATE LICENSE
OK
Enumeration date
12/17/2007
Last updated
10/26/2016
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