Healthcare Provider Details

I. General information

NPI: 1750365698
Provider Name (Legal Business Name): MALINDA ARRINGTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 E 31ST ST FL 11
TULSA OK
74135-5018
US

IV. Provider business mailing address

5310 E 31ST ST FL 13
TULSA OK
74135-5018
US

V. Phone/Fax

Practice location:
  • Phone: 918-584-5364
  • Fax: 918-584-5394
Mailing address:
  • Phone: 918-561-5701
  • Fax: 918-561-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0802143
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: