Lori Ann Maxwell
Nurse Practitioner - Adult Health
1245 S Utica Ave Fl 1
Tulsa
, Oklahoma 74104-4214
Lori Ann Maxwell
Nurse Practitioner - Adult Health
1245 S Utica Ave Fl 1
Tulsa
, Oklahoma 74104-4214
(918) 382-2501
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Lori Ann Maxwell
- 1245 S Utica Ave Fl 1
- Tulsa, OK
- Zip : 74104-4214
- Fax : (918) 382-2501
- Phone : (918) 382-2515
Second Address
- Lori Ann Maxwell
- 1245 S Utica Ave Fl 1
- Tulsa, OK
- Zip : 74104-4214
- Fax : (918) 382-2501
- Phone : (918) 382-2515
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 79283 | OK |
National Provider Identifier
| NPI | 1013359298 |
|---|---|
| Provider Name | Lori Ann Maxwell |
| First Address | Tulsa, OK 74104-4214 |
| Second Address | Tulsa, OK 74104-4214 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2013 |
| Last Update Date | 03/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200502080A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.