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Individual

MRS. NICOLE DIANE SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN FNP-C

Contact information

Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
Mailing address
8512 SPRING CREEK LN, CLAREMORE, OK 74019-2545
(918) 231-5170

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200226
OK

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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