Organization · Type 2 NPI
Age Erase Medical Aesthetics
Nurse Practitioner · Tulsa, OK
Practice location
7010 S Utica Ave
Tulsa, OK 74136-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1386505709
Age Erase Medical Aesthetics's National Provider Identifier is 1386505709, issued on Nov 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 4, 2026.