Most Relevant Information
Provider Data
| NPI Number: | 1003196684 |
| Provider Name: | CASIE NICOLE BRIM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 80718 |
Most Important Dates
| Enumeration Date: | 08/26/2011 |
| Last Updated: | 09/12/2016 |
Provider Practice Location
1919 S WHEELING AVE
SUITE 606
TULSA
OK
741045638
Practice Location Phone/Fax
| Phone: | 9187487676 |
| Fax: | 9182933130 |
Provider Mailing Location
1919 S WHEELING AVE
STE 606
TULSA
OK
741045635
Provider Mailing Phone/Fax
| Phone: | 9187487676 |
| Fax: |