Individual
CHERYL CELESTE FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-1300
Mailing address
11315 S 109TH EAST AVE, BIXBY, OK 74008-2865
(918) 630-3145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
91439
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689912693
BCBS OF OKLAHOMA
OK
05
—
200475520A
—
OK
Enumeration date
01/25/2013
Last updated
11/28/2017
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