Provider Demographics
NPI:1548934219
Name:BARNES, CRISTINA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:VLAD
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:7307 S YALE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7049
Mailing Address - Country:US
Mailing Address - Phone:918-392-4550
Mailing Address - Fax:918-392-4551
Practice Address - Street 1:7307 S YALE AVE STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7049
Practice Address - Country:US
Practice Address - Phone:918-392-4550
Practice Address - Fax:918-392-4551
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK200372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200372OtherAPRN-CNP