Search Results
Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT
Return to Search Licensees page
|
BROSSEAU, NICHOLETTE CHRISTINE |
| Practice Address: |
6120 S YALE AVE SUITE 1210
TULSA OK 74136
Address last updated on 3/12/2024 |
| Phone #: |
(918) 855-2471 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
4530 |
| Dated: |
2/9/2021 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
12/14/2020 |
|
Temp.
Ltr.
Expires:
|
3/11/2021 |
| License Type: |
Physician Assistant |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2025 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
|
Hospital Privileges:
Okmulgee Memorial Hospital, Inc.
Okmulgee, OK
|
|
Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
STEPHEN MIKUS
|
DO |
5045 |
|
|
Return to Search Licensees page
