Healthcare Provider Details

I. General information

NPI: 1699360586
Provider Name (Legal Business Name): ERICA MELISSA PROBST DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA MELISSA DEES DNP

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 E 32ND ST STE 102
TULSA OK
74135-4446
US

IV. Provider business mailing address

PO BOX 700054
TULSA OK
74170-0054
US

V. Phone/Fax

Practice location:
  • Phone: 918-236-4601
  • Fax:
Mailing address:
  • Phone: 918-405-8399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200270
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: