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NPI Profile for SHANAN ZICKEFOOSE in TULSA, OK.
Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Art Specialist/Technologist |
246ZA2600X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1326314428 |
|
| Status | Active | |
| Credentials | RN, COSMETIC TATTOO | |
| Entity | Individual | |
| Enumeration date | 03/22/2012 | |
| Last updated | 04/17/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANAN ZICKEFOOSE
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SHANAN ZICKEFOOSE, RN, COSMETIC TATTOO