Healthcare Provider Details

I. General information

NPI: 1396702189
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF TULSA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7875 EAST 51 STREET SUITE N3
TULSA OK
74145-7847
US

IV. Provider business mailing address

7875 EAST 51 STREET SUITE N3
TULSA OK
74145-7847
US

V. Phone/Fax

Practice location:
  • Phone: 918-743-9810
  • Fax: 918-691-6036
Mailing address:
  • Phone: 918-743-9810
  • Fax: 918-691-6036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number7052
License Number StateOK

VIII. Authorized Official

Name: MRS. SHANNON S ROBBINS
Title or Position: CEO
Credential: R.N.
Phone: 918-743-9810