IndividualActive
Michelle Gaviola
NPI 1265031819 · Gerontology Nurse Practitioner · Skiatook, OK
Provider details
- NPI number
- 1265031819
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R0103029 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14867 Stoney Ridge Ln
Skiatook, OK 74070
Phone: (918) 261-0802
Approximate (ZIP-level) locationGet directions
Mailing address
14867 Stoney Ridge Ln
Skiatook, OK 74070
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.