Individual provider · Type 1 NPI

Maggie Lynn Pembrook

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1245986629 Active

Practice location

102 N Denver Ave
Tulsa, OK 74103-1806

Fax (918) 560-1399

Mailing address

2705 S Beech Ave
Broken Arrow, OK 74012-7306

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245986629

Maggie Lynn Pembrook's National Provider Identifier is 1245986629, issued on Feb 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 1, 2022.