Organization · Type 2 NPI
Grand Lake Health Care, LLC
Nurse Practitioner · Grove, OK
Practice location
601 S Broadway St
Grove, OK 74344-3429
Mailing address
62500 E 247 Loop
Grove, OK 74344-7435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 80573 (OK) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
5 other providers at this address
- Hopper Medical ClinicInternal Medicine Physician Grove, OK NPI 1568568475
- Hannah Brown, SLPASpeech-Language Assistant Grove, OK NPI 1952287781
- Joseph James Gelinas, APRN-CNPNurse Practitioner Grove, OK NPI 1396045753
- Julie D. Londagin, CCC-SLPSpeech-Language Pathologist Grove, OK NPI 1386565075
- Mary E. Brandt, PH.D LCSWClinical Social Worker Grove, OK NPI 1932266913
About NPI 1619459708
Grand Lake Health Care, LLC's National Provider Identifier is 1619459708, issued on Sep 5, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grove, OK. The record was last updated on Feb 25, 2019.