Individual
MANDIE MELISSA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 495-2600
Mailing address
507 ARROWHEAD DR, TUTTLE, OK 73089-1000
(405) 408-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79285
OK
Other
Enumeration date
05/08/2009
Last updated
06/25/2026
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