Individual
IVO TADDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP RX
Contact information
Practice address
9940 E 81ST ST STE 100, TULSA, OK 74133
(918) 664-9881
(918) 403-6433
Mailing address
9940 E 81ST ST STE 100, TULSA, OK 74133-4501
(918) 664-9881
(918) 403-6433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83359
OK
Other
Enumeration date
01/21/2010
Last updated
06/13/2018
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