Individual provider · Type 1 NPI

Shanan Zickefoose, RN, COSMETIC TATTOO

Medical Art Specialist/Technologist · Tulsa, OK

NPI number 1326314428 Active

Practice location

3319 E 46th St, Suite 100
Tulsa, OK 74135-7413

Mailing address

3319 E 46th St Ste 100
Tulsa, OK 74135-2924

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR0120266 (OK)
Medical Art Specialist/Technologist Primary 246ZA2600X1132 (OK)

Medical Art Specialist/Technologist: None

5 other providers at this address

About NPI 1326314428

Shanan Zickefoose, RN, COSMETIC TATTOO's National Provider Identifier is 1326314428, issued on Mar 22, 2012. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in Tulsa, OK. The record was last updated on Apr 17, 2026.