Healthcare Provider Details

I. General information

NPI: 1326548660
Provider Name (Legal Business Name): LISA MARIE ARMSTRONG APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA MARIE CARVER APRN-CNP

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 S YALE AVE STE 1-304
TULSA OK
74136
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 918-494-5300
  • Fax: 918-494-5455
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number85874
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRO85874
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: