Organization · Type 2 NPI
Main Street Family Healthcare Nurse Practitioner Clinic, LLC
Primary Care Clinic/Center · Stroud, OK
NPI number
1154719169
Active
Practice location
309 W Main St
Stroud, OK 74079-3611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | R0052024 (OK) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Stroud
About NPI 1154719169
Main Street Family Healthcare Nurse Practitioner Clinic, LLC's National Provider Identifier is 1154719169, issued on Dec 27, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Stroud, OK. The record was last updated on Dec 18, 2015.