Provider Demographics
NPI:1790238137
Name:WEISZ, TAYLOR FINCHER (APRN)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:FINCHER
Last Name:WEISZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:LEA
Other - Last Name:FINCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 W BOISE CIR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-4906
Mailing Address - Country:US
Mailing Address - Phone:918-994-9150
Mailing Address - Fax:918-403-6323
Practice Address - Street 1:800 W BOISE CIR
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4906
Practice Address - Country:US
Practice Address - Phone:918-994-9150
Practice Address - Fax:918-403-6323
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK102616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily