Provider Demographics
NPI:1932473568
Name:STYLES, JULIE CLAIRE (APRN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CLAIRE
Last Name:STYLES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 N LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74110-2535
Mailing Address - Country:US
Mailing Address - Phone:918-591-2500
Mailing Address - Fax:918-591-2505
Practice Address - Street 1:1540 N LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74110-2535
Practice Address - Country:US
Practice Address - Phone:918-591-2500
Practice Address - Fax:918-591-2505
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90277363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200421970AMedicaid
OK267683YLV0Medicare PIN