Individual
VICKI R LEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7810
(918) 403-6437
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7810
(918) 403-6437
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
83523
OK
364SA2200X
Adult Health Clinical Nurse Specialist
83523
OK
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
83523
OK
Other
Enumeration date
02/28/2014
Last updated
04/30/2019
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