Individual
ANGELA MICHELLE MARIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8806 S YALE AVE STE B, TULSA, OK 74137-3712
(918) 710-2062
(918) 710-4421
Mailing address
3355 W 103RD ST N, SPERRY, OK 74073-4131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
98833
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20074454OA
—
OK
Enumeration date
07/23/2017
Last updated
09/03/2024
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