Individual
AMANDA LOUISE WHORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12451 E 100TH ST N, OWASSO, OK 74055-4600
(918) 274-5000
Mailing address
6600 S YALE AVE, STE 1200, TULSA, OK 74136-3361
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
113613
OK
Other
Enumeration date
10/19/2018
Last updated
03/26/2019
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