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

Leron Revan

Individual provider Peer Specialist · NPI 1619864030

Leron Revan is a Peer Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8709 E 60th St
Tulsa, OK 74145-8716
Phone: (918) 710-9757
Fax: (918) 710-9757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1619864030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address8709 E 60th St, Tulsa, OK 74145-8716

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