NPI Code Details Logo

NPI 1104384379

NPI 1104384379 : WENDY ALEXANDER APRN, FNP-C : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104384379
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WENDY ALEXANDER APRN, FNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/06/2019
-----------------------------------------------------
    Last Update Date     |    07/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1145 S UTICA AVE STE 460 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74104-4041
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-579-5749
-----------------------------------------------------
    Fax                  |    918-579-5762
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1145 S UTICA AVE STE 460 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74104-4041
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-579-5749
-----------------------------------------------------
    Fax                  |    918-579-5762
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    91926
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    R0091926
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.