IndividualActive
Aiden Haslam
NPI 1417842071 · Student in an Organized Health Care Education/Training Program · Tulsa, OK
Provider details
- NPI number
- 1417842071
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
1111 W 17th St
Tulsa, OK 74107-1886
Phone: (918) 764-5008
Approximate (ZIP-level) locationGet directions
Mailing address
4148 Dogwood Ln
Sapulpa, OK 74066-1183
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.