Healthcare Provider Details

I. General information

NPI: 1669510897
Provider Name (Legal Business Name): WENDI MARCELLE MURRELL NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 S UTICA AVE
TULSA OK
74104-6520
US

IV. Provider business mailing address

19420 E 36TH ST
BROKEN ARROW OK
74014-4721
US

V. Phone/Fax

Practice location:
  • Phone: 918-744-2725
  • Fax:
Mailing address:
  • Phone: 918-691-4042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberR65071
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: