Provider Demographics
NPI:1154554459
Name:HESS, AMI NICHOLE (RPA (CBRPA))
Entity type:Individual
Prefix:MRS
First Name:AMI
Middle Name:NICHOLE
Last Name:HESS
Suffix:
Gender:F
Credentials:RPA (CBRPA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 SOUTH GARNETT RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146
Mailing Address - Country:US
Mailing Address - Phone:918-599-4491
Mailing Address - Fax:918-635-3231
Practice Address - Street 1:4500 SOUTH GARNETT RD
Practice Address - Street 2:SUITE 300
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146
Practice Address - Country:US
Practice Address - Phone:918-599-4491
Practice Address - Fax:918-635-3231
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR09 AR 1382243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant