Organization · Type 2 NPI
Ltcnp
Primary Care Nurse Practitioner · Crescent, OK
NPI number
1154030724
Active
Practice location
14355 W Crescent Dover Rd
Crescent, OK 73028
Fax (405) 400-2559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1154030724
Ltcnp's National Provider Identifier is 1154030724, issued on Nov 22, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Crescent, OK. The record was last updated on Dec 8, 2025.