Individual
KRISTA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N FOREMAN ST, VINITA, OK 74301
(918) 256-8731
(918) 256-8234
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
99733
OK
363LF0000X
Family Nurse Practitioner
Primary
99733
OK
Other
Enumeration date
05/12/2017
Last updated
05/25/2018
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