Healthcare Provider Details

I. General information

NPI: 1831204643
Provider Name (Legal Business Name): CHERYL BETH HYNES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL BETH HYNES RN

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 S MEMORIAL DR
BIXBY OK
74008-2030
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3310
US

V. Phone/Fax

Practice location:
  • Phone: 918-497-3700
  • Fax: 918-497-3717
Mailing address:
  • Phone: 918-488-6001
  • Fax: 918-488-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number56712
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: