| Metamorphosis Wellness And Aesthetics Llc | |
|
8988 S Sheridan Rd Ste B Tulsa OK 74133-5035 | |
| (918) 607-2261 | |
| Not Available |
| Full Name | Metamorphosis Wellness And Aesthetics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8988 S Sheridan Rd Ste B, Tulsa, Oklahoma |
| Authorized Official Name and Position | Nickcole Munoz (OWNER/APRN) |
| Authorized Official Contact | 9186072261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Wellness And Aesthetics Llc 8988 S Sheridan Rd Ste B Tulsa OK 74133-5035 Ph: (918) 607-2261 | Metamorphosis Wellness And Aesthetics Llc 8988 S Sheridan Rd Ste B Tulsa OK 74133-5035 Ph: (918) 607-2261 |
| NPI Number | 1992489926 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 4981059706 |
|---|---|
| Medicare Enrollment ID | O20231016000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992489926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nickcole N Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932586 PECOS PAC ID: 3779877816 Enrollment ID: I20181205001585 |
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