NPI 1427321207

Stacey Ann Ellsworth

Practitioner Other Technician Tulsa, OK

Practice location

Address: 6333 E Skelly Dr, Tulsa, OK 74135-6106
Phone: (918) 633-0325

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1427321207
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2012
Record last updated: 9 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.