Organization · Type 2 NPI

Children, Adolescent and Family

Family Nurse Practitioner · Mcalester, OK

NPI number 1134420722 Active

Practice location

201 S 5th St
Mcalester, OK 74501-5411

Fax (918) 426-5439

Mailing address

1019 Kinkead Rd
Mcalester, OK 74501-7704

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1134420722

Children, Adolescent and Family's National Provider Identifier is 1134420722, issued on Nov 12, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcalester, OK. The record was last updated on Oct 20, 2011.