Individual provider · Type 1 NPI

Mitzi Gail Pemberton, LPN

Licensed Practical Nurse · Ponca City, OK

NPI number 1366717134 Active

Practice location

1500 N 6th St
Ponca City, OK 74601-2827

Call (580) 763-0931 Map

Fax (580) 763-0934

Mailing address

3003 Turner St Apt B
Ponca City, OK 74604-1537

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0045857 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366717134

Mitzi Gail Pemberton, LPN's National Provider Identifier is 1366717134, issued on Mar 13, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ponca City, OK. The record was last updated on Mar 13, 2012.