Provider Demographics
NPI:1083741516
Name:FRAMEL, AMIE KATHRYN (ARNP)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:KATHRYN
Last Name:FRAMEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:OTTERSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11515 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-1908
Mailing Address - Country:US
Mailing Address - Phone:918-392-3944
Mailing Address - Fax:918-392-2949
Practice Address - Street 1:11515 E 31ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-1908
Practice Address - Country:US
Practice Address - Phone:918-392-3944
Practice Address - Fax:918-392-3949
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK77185363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200068630AMedicaid