Provider Demographics
NPI:1740831486
Name:O'TOOLE, ALIINA ANN (PA-C)
Entity type:Individual
Prefix:
First Name:ALIINA
Middle Name:ANN
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALIINA
Other - Middle Name:ANN
Other - Last Name:WEYKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 E SHERIDAN AVE APT 1414
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-6713
Mailing Address - Country:US
Mailing Address - Phone:630-542-5855
Mailing Address - Fax:
Practice Address - Street 1:1200 CHILDRENS AVE STE 8305
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4637
Practice Address - Country:US
Practice Address - Phone:405-271-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant