Dr Nicholas L Zumwalt, RN | |
4623 W Kenosha St, Broken Arrow, OK 74012-8975 | |
(918) 461-0422 | |
Not Available |
Full Name | Dr Nicholas L Zumwalt |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4623 W Kenosha St, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992388284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 204532 (Oklahoma) | Primary |
Entity Name | Creek Nation Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas L Zumwalt, RN 4105 S Chestnut Ave, Broken Arrow, OK 74011-1461 Ph: (918) 760-2853 | Dr Nicholas L Zumwalt, RN 4623 W Kenosha St, Broken Arrow, OK 74012-8975 Ph: (918) 461-0422 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 | |
Makeda Gant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-764-9300 Fax: 918-764-9275 | |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 | |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 | |
Ms. Mary Constance Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-2952 | |
Ms. Jamie Larie Kitchens, DNP, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-455-0414 | |
Mrs. Christina Lou Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 N 9th St, Broken Arrow, OK 74012 Phone: 918-355-7900 Fax: 918-355-7929 |