Individual
MRS. BROOKE NICHOL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
1265 S UTICA AVE, TULSA, OK 74104-4243
(918) 592-0999
Mailing address
30760 S CEDAR RIDGE DR, INOLA, OK 74036-3055
(918) 636-8605
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
107531
OK
Other
Enumeration date
07/20/2018
Last updated
11/08/2018
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