Provider Demographics
NPI:1801381256
Name:DOUTHITT, ANDREW BOYD (APRN, FNP-BC)
Entity Type:Individual
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First Name:ANDREW
Middle Name:BOYD
Last Name:DOUTHITT
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Gender:M
Credentials:APRN, FNP-BC
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Mailing Address - Street 1:6465 S YALE AVE STE 507
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7807
Mailing Address - Country:US
Mailing Address - Phone:918-712-5000
Mailing Address - Fax:918-712-5003
Practice Address - Street 1:1145 S UTICA AVE STE 364
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4004
Practice Address - Country:US
Practice Address - Phone:918-712-5000
Practice Address - Fax:918-712-5003
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2022-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2018022963363L00000X
KS53-78314-081363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner