Individual
PRAMILA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201206
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200970180A
—
OK
Enumeration date
02/05/2021
Last updated
02/12/2026
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