Breanna Nicole Addington, DO
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1922841667
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1922841667
- Entity type
- Individual (NPI-1)
- Name
- Breanna Nicole Addington
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1111 W 17th StTulsa, OK 74107-1886
Phone 405-320-2130
Mailing address
858 County Road 1290Amber, OK 73004-4909
Phone 405-320-2130
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