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

Pba Wellness, LLC

Organization Registered Dietitian · NPI 1619304847

Pba Wellness, LLC is a Registered Dietitian in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4775 E 91st St
Tulsa, OK 74137-2801
Phone: (918) 496-2000
Fax: (918) 496-2338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1678 (OK)

Record details

NPI number1619304847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Miller — Dietitian · (918) 551-7901
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 2, 2013
Mailing address4775 E 91st St, Tulsa, OK 74137-2801

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