Provider Demographics
NPI:1891988044
Name:DINGES, EVETA SUE (NP-C)
Entity Type:Individual
Prefix:
First Name:EVETA
Middle Name:SUE
Last Name:DINGES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 S COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6123
Mailing Address - Country:US
Mailing Address - Phone:918-744-8231
Mailing Address - Fax:
Practice Address - Street 1:715 W MAIN ST
Practice Address - Street 2:SUITE S
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3554
Practice Address - Country:US
Practice Address - Phone:918-299-9447
Practice Address - Fax:918-299-5325
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKF0803115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily