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NPI Code Detail

MEDICARE: MS. MALLORY ANN NITZEL AUD

MEDICARE: MS. MALLORY ANN NITZEL AUD
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
1231H00000XAudiologist344OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467502377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MALLORY ANN NITZEL AUD
Provider Business Mailing Address
First Line : 6802 S OLYMPIA AVE STE 200
Second Line :
City : TULSA
State : OK
Zip : 74132-1826
Country : US
Telephone Number : 918-388-9090
Fax Number : 918-388-9093
Provider Business Practice Location Address
First Line : 6802 S OLYMPIA AVE STE 200
Second Line :
City : TULSA
State : OK
Zip : 74132-1826
Country : US
Telephone Number : 918-388-9090
Fax Number : 918-388-9093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 12/23/2025

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Directions to “ MS. MALLORY ANN NITZEL AUD” Practice Location

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