Healthcare Provider Details

I. General information

NPI: 1457625766
Provider Name (Legal Business Name): CHRISTINA ANN HULSEY NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA EUSTACE

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11212 E 48TH ST
TULSA OK
74146-5824
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3331
US

V. Phone/Fax

Practice location:
  • Phone: 918-556-3000
  • Fax: 918-556-7066
Mailing address:
  • Phone: 888-247-0125
  • Fax: 918-502-8210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR0087976
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: