Individual provider · Type 1 NPI

Logan Revill, APRN

Critical Care Medicine Nurse Practitioner · Tulsa, OK

NPI number 1386513703 Active

Practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

23003 E 104th St S
Broken Arrow, OK 74014-6256

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200X227095 (OK)

Critical Care Medicine Nurse Practitioner: Definition to come...

525 other providers at this address

Other critical care medicine nurse practitioner providers in Tulsa

See all in Tulsa →

About NPI 1386513703

Logan Revill, APRN's National Provider Identifier is 1386513703, issued on Nov 3, 2025. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Tulsa, OK. The record was last updated on Mar 19, 2026.