Individual
ALENA ITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 S 111TH EAST AVE, TULSA, OK 74128-4800
(918) 606-8421
Mailing address
1303 S 111TH EAST AVE, TULSA, OK 74128-4800
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R0132305
OK
Other
Enumeration date
10/07/2024
Last updated
10/14/2024
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