Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE CANNON
Active Sole ProprietorNICOLE MARIE CANNON is a Substance Abuse Rehabilitation Facility healthcare provider located in TULSA, Oklahoma. NPI 1124313788 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · TULSA, OK
Registration Details
- NPI Number
- 1124313788
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2011 (15.128337385397 yrs)
- Last Updated
- Jun 12, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
6333 E SKELLY DRTULSA, OK, 741356106Browse OK providers · Browse ZIP 74135
- Phone
- 9186644224
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| MS. SUZANNAH LOUISE LE BROCQ | MPHIL | 1568683530 |
| MR. RONALD EUGENE SNODDY SR. | LADC | 1174737464 |
| LISA AVERY | — | 1790030872 |
| WANDA MCINTURFF | M.S., LPC-US | 1831527613 |
| ROBERT WATSON | — | 1104256684 |
| MR. JOHN T BENNETT | — | 1285011858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.