Shantel Laniece Bolton, APRN Valid NPI

Individual provider · Family Nurse Practitioner · Tulsa, OK

NPI

1487112603

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

95457 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2019-03-06

Last updated

2024-04-22