Healthcare Provider Details

I. General information

NPI: 1992711527
Provider Name (Legal Business Name): CYNTHIA A CATTANEO APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA ANN HEINLEN

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 S YALE AVE STE 209
TULSA OK
74136-8303
US

IV. Provider business mailing address

6600 S YALE AVE STE 1200
TULSA OK
74136-3361
US

V. Phone/Fax

Practice location:
  • Phone: 918-488-0990
  • Fax: 918-728-8036
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberR0072526
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: