Individual
AMANDA RHEA BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 S 90TH EAST AVE, TULSA, OK 74133
(593) 512-5609
(405) 844-0562
Mailing address
1701 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3084
(405) 844-4978
(405) 844-0562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88263
OK
Other
Enumeration date
06/27/2017
Last updated
08/14/2019
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