MEDICARE: MYKEISHA AUDRIANNA GARDNER

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1336788215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYKEISHA AUDRIANNA GARDNER

Provider Business Mailing Address
First Line	:	5308 N NORFOLK AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74126-2719
Country	:	US
Telephone Number	:	918-638-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	5308 N NORFOLK AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74126-2719
Country	:	US
Telephone Number	:	918-638-2218
Fax Number	:

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

Provider Enumeration Date	:	12/25/2019
Last Update Date	:	12/25/2019

Similar Medicare Providers

1275535957 — DR. RICHARD DOUGLAS HILL D.D.S.
Practice Location Address:

9119 S TOLEDO AVE
TULSA, OK
74137-2719

Practice Phone: 918-749-6841
Practice Fax: 918-749-6859

1669467999 — DR. JAMES LOUIS WEST DDS
Practice Location Address:

9119 S TOLEDO AVE
TULSA, OK
74137-2719

Practice Phone: 918-749-6841
Practice Fax:

1881662666 — JENNY LEA GUTHRIE APRN CNP
Practice Location Address:

9101 S TOLEDO AVE , STE B
TULSA, OK
74137-2719

Practice Phone: 918-260-9322
Practice Fax:

1861433658 — CRAIG E. BUNTEMEYER D.D.S.
Practice Location Address:

9113 S TOLEDO AVE
TULSA, OK
74137-2719

Practice Phone: 918-743-9275
Practice Fax: 918-743-9279

1437163284 — MICHAEL J. HOSIER, DDS, MS, PC
Practice Location Address:

9101 S TOLEDO AVE
TULSA, OK
74137-2719

Practice Phone: 918-523-4999
Practice Fax: 918-477-7497

1942475876 — R. DOUGLAS HILL, D.D.S., P.C.
Practice Location Address:

9119 S TOLEDO AVE
TULSA, OK
74137-2719

Practice Phone: 918-749-6841
Practice Fax: 918-749-6859

Directions to “ MYKEISHA AUDRIANNA GARDNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.