MEDICARE: CLAIRE SLAUGHTER WHITE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	122720	OK

General Provider Information

NPI Number	:	1083156327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE SLAUGHTER WHITE NP

Provider Business Mailing Address
First Line	:	10462 S 82ND EAST AVE
Second Line	:	SUITE 107
City	:	TULSA
State	:	OK
Zip	:	74133-7089
Country	:	US
Telephone Number	:	918-364-5698
Fax Number	:

Provider Business Practice Location Address
First Line	:	10462 S 82ND EAST AVE
Second Line	:	SUITE 107
City	:	TULSA
State	:	OK
Zip	:	74133-7089
Country	:	US
Telephone Number	:	918-364-5698
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	11/16/2016

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