Provider Demographics
NPI:1699462671
Name:AGRAWAL, KHANH LE (APRN-CNP FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KHANH
Middle Name:LE
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:APRN-CNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 S. YALE AVE, SUITE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-494-9425
Mailing Address - Fax:
Practice Address - Street 1:6585 S. YALE AVE, SUITE 1150
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-494-9425
Practice Address - Fax:918-494-9481
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK211722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty