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Individual

MS. BRICE HARADER-PATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
11106 S YALE AVE, TULSA, OK 74137-7620
(918) 895-7000
Mailing address
5215 S HUDSON PL, TULSA, OK 74135-7510

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103776
OK
363LF0000X
Family Nurse Practitioner
Primary
103776
OK

Other

Enumeration date
02/19/2015
Last updated
03/17/2018
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