Individual
CYNTHIA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101985
OK
Other
Enumeration date
09/28/2018
Last updated
08/20/2021
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