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Contact Information

MANDA L BLISS, APRN-CNP
10505 E 91ST ST STE 205
TULSA, OK74133-5829
 Phone: 918-307-5490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

163WG0600X
Indicates primary specialty

NPI Profile & details for MANDA L BLISS · (Female)

NPI # 1356143978
Status Active
Credentials APRN-CNP
Entity Individual
Enumeration date 03/25/2025
Last updated 04/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 222648
  • OK License # R0121986
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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