Individual provider · Type 1 NPI

Lisa Ann Bloxham, APRN-CNP

Family Nurse Practitioner · Tulsa, OK

NPI number 1366904740 Active

Practice location

12697 E 51st St
Tulsa, OK 74146-6236

Mailing address

3404 W Knoxville St
Broken Arrow, OK 74012-4657

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse 163WX0200XR0099475 (OK)
Family Nurse Practitioner Primary 363LF0000X99475 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1366904740

Lisa Ann Bloxham, APRN-CNP's National Provider Identifier is 1366904740, issued on Apr 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 17, 2019.