Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristal Ladawn Vasquez, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1063030088

Kristal Ladawn Vasquez, AGNP-C is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2020, 6 years ago. Practices with Nr Southwest Okc LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
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Practice location Address checks out

1831 E 71st St
Tulsa, OK 74136-3922
Phone: (866) 949-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4019 North Flood Ave, Normam, OK 73069 — (405) 253-5076

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 108337 (OK)

Record details

NPI number1063030088
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nr Southwest Okc Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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