Healthcare Provider Details

I. General information

NPI: 1871120527
Provider Name (Legal Business Name): NATALLI BERTOLOTTI HELLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 S UTICA AVE # 2123
TULSA OK
74104-4012
US

IV. Provider business mailing address

1120 S UTICA AVE # 2123
TULSA OK
74104-4012
US

V. Phone/Fax

Practice location:
  • Phone: 918-205-0715
  • Fax: 918-579-5404
Mailing address:
  • Phone: 918-205-0715
  • Fax: 918-579-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number47473
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: