| Shanan Zickefoose, RN, COSMETIC TATTOO | |
|
3319 E 46th St, Suite 100, Tulsa, OK 74135-7413 | |
| (918) 724-5614 | |
| Not Available |
| Full Name | Shanan Zickefoose |
|---|---|
| Gender | Female |
| Speciality | Specialist/technologist, Other - Art, Medical |
| Location | 3319 E 46th St, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326314428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R0120266 (Oklahoma) | Secondary |
| 246ZA2600X | Specialist/technologist, Other - Art, Medical | 1132 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanan Zickefoose, RN, COSMETIC TATTOO 3319 E 46th St Ste 100, Tulsa, OK 74135-2924 Ph: (918) 724-5614 | Shanan Zickefoose, RN, COSMETIC TATTOO 3319 E 46th St, Suite 100, Tulsa, OK 74135-7413 Ph: (918) 724-5614 |