SAMIRA POLINA QUEEN NPI 1871081703

NPI Information

NPI: 1871081703
Provider Name: SAMIRA POLINA QUEEN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
6465 S YALE AVE STE 910
TULSA, OK
ZIP 74136
Phone: (918) 502-3200
Get Directions

Samira Polina Queen is a gerontology nurse practitioner in Tulsa, OK with 6 years of experience. Samira Polina Queen NPI is 1871081703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6465 S YALE AVE STE 910
TULSA, OK
ZIP 74136-823
Phone: (918) 502-3200
Fax: (918) 502-3205

The NPI 1871081703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 9/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	103075	OKLAHOMA	No
2	363LG0600X	Nurse Practitioner	Gerontology	103075	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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