Healthcare Provider Details

I. General information

NPI: 1770408379
Provider Name (Legal Business Name): CHRISTY THOMAS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W HENSLEY BLVD
BARTLESVILLE OK
74003-2519
US

IV. Provider business mailing address

422 OAK PARK RD
BARTLESVILLE OK
74003-1538
US

V. Phone/Fax

Practice location:
  • Phone: 918-337-6007
  • Fax: 918-337-6040
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberL0054111
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: