Provider Demographics
NPI:1083156327
Name:WHITE, CLAIRE SLAUGHTER (NP)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:SLAUGHTER
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:LOUISE
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10462 S 82ND EAST AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7089
Mailing Address - Country:US
Mailing Address - Phone:918-364-5698
Mailing Address - Fax:
Practice Address - Street 1:10462 S 82ND EAST AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7089
Practice Address - Country:US
Practice Address - Phone:918-364-5698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK122720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily