NPI 1205462801 · live from the CMS NPI Registry
Andrea Corin Manley, RN
Registered Nurse in Tulsa, OK. National Provider Identifier 1205462801, active.
NPI record
| NPI | 1205462801 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 1055 S Houston Ave, Tulsa, OK 74127 |
| Practice phone | 918-921-3200 |
| Enumerated | March 16, 2020 |
| Last updated | September 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 121849 (OK) |
| Registered Nurse primary | 163W00000X | R0121849 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.