IndividualActive
Andy Cannon, APRN
NPI 1104558527 · Acute Care Nurse Practitioner · Tulsa, OK
Provider details
- NPI number
- 1104558527
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 208609 (OK)
Practice location
2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5656
Phone: (918) 748-7854
Fax: (918) 403-6335
Mailing address
2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5656
Registry dates
- Enumerated
- 2022-06-24
- Last updated
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.