Individual
WALTER DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6465 S YALE AVE STE 507, TULSA, OK 74136-7807
(918) 712-5000
Mailing address
6465 S YALE AVE STE 507, TULSA, OK 74136-7807
(918) 712-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 00150454
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
210113
OK
Other
Enumeration date
09/14/2015
Last updated
08/30/2022
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