Individual
DR. NICHOLAS L ZUMWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4623 W KENOSHA ST, BROKEN ARROW, OK 74012-8975
(918) 461-0422
Mailing address
4105 S CHESTNUT AVE, BROKEN ARROW, OK 74011-1461
(918) 760-2853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204532
OK
Other
Enumeration date
05/04/2021
Last updated
09/16/2025
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