Individual provider · Type 1 NPI

Emilie Brooke Eldridge

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

NPI number 1902794191 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 561-8277 Map

Mailing address

1235 W Lisa Ann Dr
Tahlequah, OK 74464-5190

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 1902794191

Emilie Brooke Eldridge's National Provider Identifier is 1902794191, issued on Jun 25, 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 25, 2025.