Healthcare Provider Details

I. General information

NPI: 1639496987
Provider Name (Legal Business Name): NATALIE MARIE MOSLEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 S YALE AVE
TULSA OK
74136-1902
US

IV. Provider business mailing address

6502 S YALE AVE STE 3410
TULSA OK
74136-8329
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-5930
  • Fax: 918-502-5935
Mailing address:
  • Phone: 918-499-4855
  • Fax: 918-488-6098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0055366
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number9406
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: