Facts
- Status
- A
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2015-01-28
- Last updated
- 2017-04-20
Specialties
Licenses
- License OK
- 99136
Location
- Practice location
- 2900 S TELEPHONE RD, SUITE 250
- City
- MOORE OK
- Postal code
- 731602968
- Phone
- 405-237-7500
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.