Individual
ANALISE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(831) 818-8954
Mailing address
14630 E 39TH ST S, TULSA, OK 74134-5630
(831) 818-8954
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
12/02/2025
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