Individual
SHAY NICOLE SUROWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1245 S UTICA AVE STE 301, TULSA, OK 74104-4214
(918) 795-3900
Mailing address
1145 S UTICAAVE, STE 110, TULSA, OK 74104
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
81960
OK
363LF0000X
Family Nurse Practitioner
Primary
81960
OK
Other
Enumeration date
06/02/2017
Last updated
12/15/2021
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