Mellor, Sandra Marie

Mellor, Sandra Marie is an individual health care provider with primary practice located at 8316 E 61St St Ste 101A , Tulsa OK 74133-1908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mellor, Sandra Marie can be contacted via phone (918) 893-3535.

Contact Information

Primary practice address
8316 E 61St St Ste 101A Tulsa OK 74133-1908
Phone: (918) 893-3535
Fax: (918) 893-3570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 88750 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 653337 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 88750 Oklahoma

Profile Details

NPI number 1396783908
LBN Legal business name Mellor, Sandra Marie
Credentials DNP, APPN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jan 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396783908 NPPES
Oklahoma MEDICAID 200623310A

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