Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANAN ZICKEFOOSE, RN, COSMETIC TATTOO
Active Sole ProprietorSHANAN ZICKEFOOSE, RN, COSMETIC TATTOO is a Anesthesiologist Assistant healthcare provider located in TULSA, Oklahoma. NPI 1326314428 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · TULSA, OK
Registration Details
- NPI Number
- 1326314428
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2012 (14.211591503662 yrs)
- Last Updated
- Oct 22, 2022
- Licenses
-
1132 (OK)1132
- Sole Proprietor
- Yes
Practice Information
- Address
-
3319 E 46TH STSUITE 100TULSA, OK, 741357413Browse OK providers · Browse ZIP 74135
- Phone
- 9187245614
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
- Additional Specialty
- Anesthesiologist Assistant
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.