Individual
QUANAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-6707
Mailing address
6758 S BIRMINGHAM AVE, TULSA, OK 74136-4315
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
204403
OK
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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