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General NPI Number Information
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NPI Number | 1184232753
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Entity Type | Individual
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Provider Name | BRIANNA NICOLE REYES APRN-FNP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1111 S SAINT LOUIS AVE
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City | TULSA
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State | OK
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Zip | 74120-5440
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Country | US
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Telephone | 918-619-4400
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Fax | 918-619-4696
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Provider Business Mailing Address
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Address Line | 7633 E 63RD PL STE 300
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City | TULSA
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State | OK
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Zip | 74133-1202
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Country | US
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Telephone | 918-732-9857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 126934
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License Number State | OK
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