Organization · Type 2 NPI
Idabel Family Practice, LLC
Primary Care Nurse Practitioner · Idabel, OK
NPI number
1487480869
Active
Practice location
1401 S Lynn Ln
Idabel, OK 74745-6859
Fax (855) 576-4102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
About NPI 1487480869
Idabel Family Practice, LLC's National Provider Identifier is 1487480869, issued on Sep 11, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Idabel, OK. The record was last updated on Jan 30, 2025.