Individual
MS. ANDRENE H THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
26300 S HIGHWAY 125, AFTON, OK 74331-6282
(918) 257-8585
(918) 256-8234
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0082062
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201059260A
—
OK
Enumeration date
06/11/2018
Last updated
11/02/2022
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