CANDIS L BROADNAX


Address: 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243
Phone: 9185920999

CANDIS L BROADNAX (NPI# 1740605781) 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) 1740605781
Entity Type Individual
Full Name CANDIS L BROADNAX
Practice Address 1265 S Utica Ave
Suite 300
Tulsa
OK 74104-4243
Practice Telephone 9185920999
Practice Fax Number 9185921021
Mailing Telephone 9185920999
Mailing Fax Number 9185921021
Enumeration Date 2014-02-27
Last Update Date 2014-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
94532 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1265 S UTICA AVE
SUITE 300
City TULSA
State OK
Zip Code 74104-4243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124829 Deanene K Tonn Physician Assistant 1265 S Utica Ave, Ste 300, Tulsa, OK 74104-4243 2005-06-17
1790318426 Pavel Greg Buzadzhi Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2020-02-21
1447735055 Jonathan Daniel Bouldin Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-09-28
1265910269 Lara Madison Long Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-08-01
1760969497 Megan L Vitrano Clinical Nurse Specialist 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-07-25
1790262012 Brooke Nichol Weaver Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-07-20
1013409945 Kristopher Wayne Mcdonald Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-06-06
1942797238 Jay W Vazquez Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-04-23
1861937013 Kelleigh Deeann Sprott Physician Assistant 1265 S Utica Ave, Tulsa, OK 74104-4243 2016-12-27
1083071534 Eugenia Lynn Pulliam Physician Assistant 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2016-01-27
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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
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427577329 Cheryl Lynn Quibell-wright Clinical Nurse Specialist 1265 S Utica Ave Ste 105, Tulsa, OK 74104-4243 2017-09-12
1184855389 Caroline Powell Coussens Clinical Nurse Specialist 200 W 46th St N, Dream Center, Tulsa, OK 74126-6675 2009-08-05
1942479316 Melanie Rene Mckinney Clinical Nurse Specialist 1923s Utica Ave, Tulsa, OK 74104-6520 2008-02-29
1134635469 Jaquita Y Gardner Clinical Nurse Specialist 10901 E 48th St, Tulsa, OK 74146-5830 2017-12-22
1558746958 Abigail Elizabeth Ferrill Clinical Nurse Specialist 6161 S Yale Ave, Tulsa, OK 74136-1902 2015-07-27
1316181084 Jill Denise Holleman Clinical Nurse Specialist 1923 S Utica Ave, Tulsa, OK 74104-6520 2009-04-26
1639390768 Kami Opal Moore Clinical Nurse Specialist 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2007-05-02
1649379603 Nedena Ann Newman Clinical Nurse Specialist 6151 S Yale Ave, #400, Tulsa, OK 74136-1907 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609393149 Sarah Kathryn Walsh Clinical Nurse Specialist 825 N.e. 10th St Suite 2g, Oklahoma City, OK 73104 2017-08-25
1861845190 Jamie Spence Clinical Nurse Specialist 731 12th Ave Nw Ste 302, Ardmore, OK 73401-5765 2016-07-21
1083257372 Clarizza Carroll Clinical Nurse Specialist 304 Fairlane Ave, Sulphur, OK 73086-6861 2019-10-20
1720597974 Comfort Olufunke Taiwo Clinical Nurse Specialist 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2017-09-20
1518488592 Meagan Marie Williams Clinical Nurse Specialist 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2017-06-29
1639624612 Deborah Wright Clinical Nurse Specialist 800 Ne 10th St, Oklahoma City, OK 73104-5418 2016-08-19
1992259303 Alexis Stinnett Clinical Nurse Specialist 800 Ne 10th St, Oklahoma City, OK 73104-5418 2016-08-15
1073066023 Michelle Tull Clinical Nurse Specialist 800 Ne 10th St, Oklahoma City, OK 73104-5418 2016-07-26
1295162519 Jennifer Marie Riggs Clinical Nurse Specialist 5224 E I 240 Service Rd Fl 2, Oklahoma City, OK 73135-2607 2013-10-01
1992139224 Mandy Marie Nelson Clinical Nurse Specialist 700 Ne 13th St, Oklahoma City, OK 73104-5004 2013-08-22
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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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