Individual
SHELLY DIANE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
717 W 71ST ST, TULSA, OK 74132-1824
(918) 517-6300
Mailing address
4953 S 185TH EAST AVE, TULSA, OK 74134-7321
(918) 508-1922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90580
OK
Other
Enumeration date
10/05/2019
Last updated
11/13/2023
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