Individual
BLANCA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3071
Mailing address
11479 S 264TH EAST AVE, COWETA, OK 74429-6750
(918) 407-4999
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
98202
OK
163WD0400X
Diabetes Educator Registered Nurse
21420039
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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