Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modify, PLLC

Organization Health Service Clinic/Center · NPI 1871295774

Modify, PLLC is a Health Service Clinic/Center in Tulsa, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7804 E 108th St Ste A
Tulsa, OK 74133-7423
Phone: (918) 857-2135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1871295774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wyatt — Owner · (918) 857-2135
NPI enumeratedMarch 22, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address8263 S Harvard Ave # 715, Tulsa, OK 74137-1614

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