Provider Demographics
NPI:1306278767
Name:TAYLOR, ALLISON LEE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LEE
Other - Last Name:PITEZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:918-488-6045
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-502-6720
Practice Address - Fax:918-502-6725
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK92796363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics