Individual provider · Type 1 NPI

Landen Tidrick

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1457249096 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 607-9031 Map

Mailing address

15936 Munson Ct
Skiatook, OK 74070-4784

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457249096

Landen Tidrick's National Provider Identifier is 1457249096, issued on Jun 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 24, 2025.