Healthcare Provider Details

I. General information

NPI: 1124982178
Provider Name (Legal Business Name): KAREN WARNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 S UTICA AVE STE 101
TULSA OK
74104-4214
US

IV. Provider business mailing address

3553 S RICHMOND AVE
TULSA OK
74135-1718
US

V. Phone/Fax

Practice location:
  • Phone: 918-579-3890
  • Fax:
Mailing address:
  • Phone: 918-955-4153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR0130494
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: