Basic Information
Provider Information
NPI: 1124425046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARROW
FirstName: VIOLET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN-CNS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1145 S UTICA AVE
Address2: SUITE 460
City: TULSA
State: OK
PostalCode: 74104
CountryCode: US
TelephoneNumber: 9185795749
FaxNumber: 9185795762
Practice Location
Address1: 1145 S UTICA AVE
Address2: SUITE 460
City: TULSA
State: OK
PostalCode: 74104
CountryCode: US
TelephoneNumber: 9185795749
FaxNumber: 9185795762
Other Information
ProviderEnumerationDate: 11/20/2014
LastUpdateDate: 06/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364S00000X93309OKN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist 
363LA2100X93309OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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