LISA ANN BLOXHAM

TULSA, OK
NPI1366904740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  99475)
Additional Taxonomies163WX0200X Registered Nurse, Oncology
(Licence: OK  R0099475)
Enumeration Date2019-04-03
Last Update Date2019-07-17
Business Address
LISA ANN BLOXHAM APRN-CNP
12697 E 51ST ST
TULSA, OK 74146-6236
Phone number: 918-505-3200
Mailing Address
LISA ANN BLOXHAM APRN-CNP
3404 W KNOXVILLE ST
BROKEN ARROW, OK 74012-4657
Phone number: 918-645-9411