Individual
MR. TYLER WAYNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202279
OK
Other
Enumeration date
08/03/2021
Last updated
08/26/2021
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