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Nicole Lisette Mancinelli, PA-C
Surgical Physician Assistant in Tulsa, Oklahoma
NPI 1619216272

Nicole Lisette Mancinelli is a Surgical Physician Assistant based in Tulsa, OK and is specialized in Surgical. Nicole Lisette Mancinelli practices in Tulsa, OK and has the professional credentials of PA-C. The NPI Number for Nicole Lisette Mancinelli is 1619216272 and holds a License No. 2195 (Oklahoma).

The current practice location address for Nicole Lisette Mancinelli is 2424 E. 21St Street, Tulsa, OK and can be reached out via phone at 918-392-4547 and via fax at 918-392-4555.

Location: 2424 E. 21St Street, Tulsa, OK, 74137-7435
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Provider Profile Details
NPI Number
1619216272
Provider Name
Nicole Lisette Mancinelli
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2424 E. 21St Street, Tulsa, OK, 74137-7435
Phone Number
918-392-4547
Fax Number
918-392-4555
Provider Enumeration Date
02/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200474170A 05 OK
institution
Provider Business Practice Location Address Details
Address
2424 E. 21St Street
City
State
Zip
74114
Phone Number
918-392-4547
Fax Number
918-392-4555
person
Provider Business Mailing Address Details
Address
2424 E. 21St Street
City
State
Zip
74114
Phone Number
918-392-4547
Fax Number
918-392-4555
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2195 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2195 (Oklahoma)
Definition
Definition to come...
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