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NATHANIEL WICKOREN
NPI 1013612316
Specialist/Technologist, Other - Electroneurodiagnostic in Tulsa, OK

Active since April 04, 2023
1715 S BALTIMORE AVE, TULSA, OK 74119(918) 895-7680(918) 236-4646 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathaniel Wickoren NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL WICKOREN (NPI 1013612316) is an individual electroneurodiagnostic provider in Tulsa, Oklahoma and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1013612316
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameNATHANIEL WICKOREN
Location Address1715 S BALTIMORE AVETulsa, OK 74119-4807
Mailing Address1715 S Baltimore AveTulsa, OK 74119-4807 · (918) 895-7680 · Fax (918) 236-4646
Phone(918) 895-7680
Fax(918) 236-4646
Sole ProprietorYes
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1013612316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
1715 S BALTIMORE AVE, Tulsa, OK 74119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIO JOYNER
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
SIMONE PICO RODRIGUEZ
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
ZACHARY JACQUES
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
WARREN NIETO
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
SIDNEY DAY
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
COREY GODWIN
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
TIFFANI BRYSON
Specialist/Technologist, Other (Electroneurodiagnostic)
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 895-7680
NUTRITION CONSULTANTS OF TULSA, LLC
Dietitian, Registered
1715 S BALTIMORE AVE
TULSA, OK 74119
Tulsa County (918) 749-9077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Wickoren's NPI number?

The NPI number for Nathaniel Wickoren is 1013612316. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Nathaniel Wickoren located?

Nathaniel Wickoren practices at 1715 S Baltimore Ave, Tulsa, OK 74119. The listed phone number is (918) 895-7680.

What is Nathaniel Wickoren's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Nathaniel Wickoren was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.