JOERESTY TABUJARA ABELIDA AGACNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Critical Care Medicine
Provider Information
- NPI Number
1053943217- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGACNP
- Status
- Active
Contact & Location
- Address
- 825 NE 10TH ST STE 5B, OKLAHOMA CITY, OK, 731045417
- Phone
- (405) 271-3635
- Fax
- (405) 271-2523
Specialties & Taxonomies
Nurse Practitioner, Acute Care
License: AZ #AP144916
Nurse Practitioner, Critical Care Medicine
License: TX #AP144916
Nurse Practitioner, Acute Care
License: SC #26046
Nurse Practitioner, Critical Care Medicine
Primary License: OK #200190