Organization · Type 2 NPI
Providence Family Practice, PLLC
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1215185491
Active
Practice location
1016 SW 44th St Ste 400
Oklahoma City, OK 73109-3617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | R0058523 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | R0058523 (OK) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1215185491
Providence Family Practice, PLLC's National Provider Identifier is 1215185491, issued on Aug 31, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 24, 2009.