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Derek Edward Nitz
Student in an Organized Health Care Education/Training Program in Jenks, Oklahoma
NPI 1164038527

Derek Edward Nitz is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Derek Edward Nitz practices in Jenks, OK. The NPI Number for Derek Edward Nitz is 1164038527 and holds a License No. (Oklahoma).

The current practice location address for Derek Edward Nitz is 12548 S Gary Ave, Jenks, OK and can be reached out via phone at 918-857-8619.

Location: 12548 S Gary Ave, Jenks, OK, 74135-2536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164038527
Provider Name
Derek Edward Nitz
Credential
Provider Entity Type
Individual
Gender
Male
Address
12548 S Gary Ave, Jenks, OK, 74135-2536
Phone Number
918-857-8619
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12548 S Gary Ave
City
Jenks
State
Oklahoma
Zip
74037-4937
Phone Number
918-857-8619
Fax Number
person
Provider Business Mailing Address Details
Address
12548 S Gary Ave
City
Jenks
State
Oklahoma
Zip
74037-4937
Phone Number
918-857-8619
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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