NICOLE COBURN


Address: 1923 S Utica Ave, Tulsa, OK 74104-6520
Phone: 9187487591

NICOLE COBURN (NPI# 1558903369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558903369
Entity Type Individual
Full Name NICOLE COBURN
Practice Address 1923 S Utica Ave
Tulsa
OK 74104-6520
Practice Telephone 9187487591
Practice Fax Number 9184036352
Mailing Telephone 9187487591
Mailing Fax Number 9184036352
Enumeration Date 2019-10-14
Last Update Date 2020-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3176 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE COBURN

NPI Name Taxonomy Address Enumeration
1003137241 Nicole P Coburn Counselor 20 Tower Office Park, Woburn, MA 01801-2113 2010-06-22

Office Location

Street Address 1923 S UTICA AVE
City TULSA
State OK
Zip Code 74104-6520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174527667 Mark Douglas Mills Pharmacist 1923 S Utica Ave, Tulsa, OK 74104-6520 2005-06-13
1043848880 Saba Imani Student in an Organized Health Care Education/Training Program 1923 S Utica Ave, Tulsa, OK 74104-6520 2020-03-28
1073146312 Tammy Irene Joplin Clinical Nurse Specialist 1923 S Utica Ave, Tulsa, OK 74104-6520 2020-02-14
1962047563 Houston Reed Slemp Nurse Practitioner 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-11-07
1124669643 Jordan Beasley Physician Assistant 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-10-06
1558926683 Jacob Blasdel Student in an Organized Health Care Education/Training Program 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-05-03
1487217634 Candice R Rogers Student in an Organized Health Care Education/Training Program 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-04-15
1881158178 Ellen Chadick Anesthesiologist Assistant 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-01-30
1528522810 Hannah Chadick Anesthesiologist Assistant 1923 S Utica Ave, Tulsa, OK 74104-6520 2019-01-30
1477033413 Ashley Siobhan Carnley Nurse Anesthetist, Certified Registered 1923 S Utica Ave, Tulsa, OK 74104-6520 2018-08-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
Find all providers in zip 74104

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720620487 Taehee Strauss Physician Assistant 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 2019-10-15
1871134163 Claire Anne Kifer Physician Assistant 155 E 29th Pl, Tulsa, OK 74114-5201 2019-10-08
1033750328 Jazmine Denise Nicole Manns Physician Assistant 9132 E 37th Ct, Tulsa, OK 74145-3415 2019-10-08
1295376523 Emily Montana Bergeron Physician Assistant 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 2019-10-08
1295376325 Reagan Hahn Physician Assistant 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 2019-09-30
1881245082 Miranda Hamilton Physician Assistant 3726 E 43rd St, Tulsa, OK 74135-2743 2019-09-27
1205487493 Christopher Thibeault Physician Assistant 10326 S Oswego Ave, Tulsa, OK 74137 2019-09-27
1831740018 Savannah Payne Physician Assistant 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 2019-09-27
1366093759 Garrett Blubaugh Physician Assistant 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 2019-09-26
1649821547 Madison Snow Physician Assistant 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 2019-09-23
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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