Organization · Type 2 NPI
Elmbrook Clinical Services LLC
Gerontology Nurse Practitioner · Ardmore, OK
NPI number
1649951211
Active
Practice location
1908 12th Ave NW, Suite E
Ardmore, OK 73401-1255
Fax (580) 226-3121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1649951211
Elmbrook Clinical Services LLC's National Provider Identifier is 1649951211, issued on Jul 27, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ardmore, OK. The record was last updated on Jan 5, 2024.