Brazeal, Wanda Kaye

Brazeal, Wanda Kaye is an individual health care provider with primary practice located at 6655 S Yale Ave Laureate Psychiatric Clinic And Hospital, Tulsa OK 74136-3326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brazeal, Wanda Kaye can be contacted via phone (918) 491-3700.

Contact Information

Primary practice address
6655 S Yale Ave Laureate Psychiatric Clinic And Hospital Tulsa OK 74136-3326
Phone: (918) 491-3700
Fax: (918) 491-5740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 72748 Oklahoma

Profile Details

NPI number 1871891861
LBN Legal business name Brazeal, Wanda Kaye
Credentials FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2011
Last updated Jul 28th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871891861 NPPES
Oklahoma MEDICAID 200329080A

Popular Providers