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NPI Code Detail

MEDICARE: ANALISE WAKEFIELD

MEDICARE: ANALISE WAKEFIELD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1851061105
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANALISE WAKEFIELD
Provider Business Mailing Address
First Line : 14630 E 39TH ST S
Second Line :
City : TULSA
State : OK
Zip : 74134-5630
Country : US
Telephone Number : 831-818-8954
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 831-818-8954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2021
Last Update Date : 12/02/2025

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Directions to “ ANALISE WAKEFIELD ” 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.

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