Healthcare Provider Details

I. General information

NPI: 1598675928
Provider Name (Legal Business Name): VELANIE LYNN NOE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10159 E 11TH ST STE 201
TULSA OK
74128-3058
US

IV. Provider business mailing address

9340 S 89TH EAST AVE
TULSA OK
74133-5605
US

V. Phone/Fax

Practice location:
  • Phone: 276-356-9340
  • Fax:
Mailing address:
  • Phone: 276-356-9340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number74337
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: