Individual
MRS. BRANDI MIST MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 252-8000
Mailing address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 752-6822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93587
OK
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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