Individual
ANNA LILIA PINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
3562 E 51ST ST, TULSA, OK 74135-3518
(918) 734-2362
(918) 310-1058
Mailing address
822 W SOUTH PARK BLVD, BROKEN ARROW, OK 74011-2041
(918) 734-2362
(918) 310-1058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
363LF0000X
Family Nurse Practitioner
0088067
OK
363LF0000X
Family Nurse Practitioner
Primary
R0088067
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880 O
—
OK
05
—
100768880F
—
OK
05
—
100768880I
—
OK
05
—
100768880J
—
OK
05
—
200455350 A
—
OK
Enumeration date
07/02/2012
Last updated
01/17/2024
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