MEDICARE: PHENG CING APRN FNP-C

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	205752	OK

General Provider Information

NPI Number	:	1164180816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHENG CING APRN FNP-C

Provider Business Mailing Address
First Line	:	12028 S NORWOOD AVE STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5545
Country	:	US
Telephone Number	:	918-819-8164
Fax Number	:	918-205-6770

Provider Business Practice Location Address
First Line	:	12028 S NORWOOD AVE STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5545
Country	:	US
Telephone Number	:	918-819-8164
Fax Number	:	918-205-6770

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

Provider Enumeration Date	:	11/30/2021
Last Update Date	:	02/05/2026

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Directions to “ PHENG CING APRN FNP-C” Practice Location

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