Organization · Type 2 NPI

Amattco LLC

Specialist · Broken Arrow, OK

NPI number 1477009256 Active

Practice location

3100 S Elm Pl, Suite B
Broken Arrow, OK 74012-7950

Fax (918) 731-4518

Mailing address

3705 West Memorial Rd, Suite 601
Oklahoma City, OK 73134-1512

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X9365 (OK)
Specialist Primary 174400000X73548 (OK)
Nurse Practitioner 363L00000X79139 (OK)
Nurse Practitioner 363L00000XR0078723 (OK)
Nurse Practitioner 363L00000X86262 (OK)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477009256

Amattco LLC's National Provider Identifier is 1477009256, issued on Aug 31, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 31, 2016.