Individual
BECKI SHEA BANTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1245 S UTICA AVE STE 100, TULSA, OK 74104-4214
(918) 579-3850
(918) 579-3869
Mailing address
1245 S UTICA AVE STE 100, TULSA, OK 74104-4214
(918) 579-3850
(918) 579-3869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78262
OK
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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