Healthcare Provider Details

I. General information

NPI: 1407718026
Provider Name (Legal Business Name): KARINA FERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OU SCHOOL OF COMMUNITY MEDICINE PA PROGRAM 4502 EAST 41ST ST
TULSA OK
74135
US

IV. Provider business mailing address

11823 E 15TH PL
TULSA OK
74128-5801
US

V. Phone/Fax

Practice location:
  • Phone: 918-660-3842
  • Fax:
Mailing address:
  • Phone: 918-378-8613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: