Individual
MELISSA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 E 91ST ST, TULSA, OK 74133-5834
(918) 940-8500
(918) 940-8399
Mailing address
10210 E 91ST ST, TULSA, OK 74133-5834
(918) 940-8500
(918) 940-8399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103333
OK
363LP2300X
Primary Care Nurse Practitioner
0103333
OK
Other
Enumeration date
01/17/2014
Last updated
03/05/2018
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