Provider Demographics
NPI:1396410254
Name:KIRCHNER, AMY MICHELLE (APRN)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MICHELLE
Last Name:KIRCHNER
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-403-7089
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:3450 E FRANK PHILLIPS BLVD
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2406
Practice Address - Country:US
Practice Address - Phone:918-338-3740
Practice Address - Fax:918-338-3742
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2024-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK202077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily