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NPI Code Detail

MEDICARE: MRS. KRISTI RENEE FOGLEMAN RN, BSN,

MEDICARE: MRS. KRISTI RENEE FOGLEMAN RN, BSN,
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
1163W00000XRegistered NurseR0059586OK
2163WD0400XDiabetes Educator Registered NurseR0059586OK
3163WP0808XPsychiatric/Mental Health Registered NurseR0059586OK
4171M00000XCase Manager/Care CoordinatorR0059586OK

General Provider Information

NPI Number : 1538121389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTI RENEE FOGLEMAN RN, BSN,
Provider Business Mailing Address
First Line : 2325 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3300
Country : US
Telephone Number : 918-712-4301
Fax Number : 918-712-3409
Provider Business Practice Location Address
First Line : 2325 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3300
Country : US
Telephone Number : 918-712-4301
Fax Number : 918-712-3409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 04/13/2023

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