Healthcare Provider Details

I. General information

NPI: 1184598658
Provider Name (Legal Business Name): ALEXANDRA TEEL DNP, APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E ROGERS BLVD
SKIATOOK OK
74070-1205
US

IV. Provider business mailing address

323 E ROGERS BLVD
SKIATOOK OK
74070-1205
US

V. Phone/Fax

Practice location:
  • Phone: 918-719-2841
  • Fax:
Mailing address:
  • Phone: 918-719-2841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number230576
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: