Healthcare Provider Details

I. General information

NPI: 1841123197
Provider Name (Legal Business Name): WHITNEY DAWN MINNEY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 E 41ST ST STE 2900
TULSA OK
74135-2527
US

IV. Provider business mailing address

PO BOX 268838
OKLAHOMA CITY OK
73126-8838
US

V. Phone/Fax

Practice location:
  • Phone: 918-660-3150
  • Fax: 918-660-3143
Mailing address:
  • Phone: 918-660-3150
  • Fax: 918-660-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number228390
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: