Organization · Type 2 NPI
Modify, PLLC
Adult Health Clinical Nurse Specialist · Tulsa, OK
NPI number
1871295774
Active
Practice location
7804 E 108th St Ste A
Tulsa, OK 74133-7423
Mailing address
8263 S Harvard Ave # 715
Tulsa, OK 74137-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | None listed |
Adult Health Clinical Nurse Specialist: Definition to come...
2 other providers at this address
About NPI 1871295774
Modify, PLLC's National Provider Identifier is 1871295774, issued on Mar 22, 2023. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Tulsa, OK. The record was last updated on Jun 12, 2023.