LISA MICHELE SAMPLE

TULSA, OK
NPI1003582644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OK  205023)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: OK  205023)
Enumeration Date2021-08-23
Last Update Date2024-01-16
Business Address
LISA MICHELE SAMPLE AG-ACNP
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-2200
Mailing Address
LISA MICHELE SAMPLE AG-ACNP
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: