Individual
MELISSA M DIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6151 S YALE AVE, SUITE A-100, TULSA, OK 74136-1907
(918) 494-8500
Mailing address
6151 S YALE AVE, SUITE A-100, TULSA, OK 74136-1907
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
55596
OK
364S00000X
Clinical Nurse Specialist
Primary
55596
OK
Other
Enumeration date
03/03/2010
Last updated
07/02/2018
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