IndividualActive
Andrea Wall, ACNP
NPI 1043284292 · Acute Care Nurse Practitioner · Tulsa, OK
Provider details
- NPI number
- 1043284292
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- R31459 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
10109 E 79th St
Tulsa, OK 74133-4564
Phone: (918) 286-5131
Fax: (918) 249-7532
Approximate (ZIP-level) locationGet directions
Mailing address
10109 E 79th St
Tulsa, OK 74133-4564
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2013-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.