Individual
LAURA THORNTON BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1245 S UTICA AVE, 2ND FLOOR WEST, TULSA, OK 74104-4214
(918) 382-2551
(918) 382-2561
Mailing address
1245 S UTICA AVE, 2ND FLOOR WEST, TULSA, OK 74104-4214
(918) 382-2551
(918) 382-2561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
41509
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501720A
—
OK
Enumeration date
07/29/2013
Last updated
08/03/2015
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