Individual provider · Type 1 NPI
Addie Beth Gratz, ARNP
Primary Care Nurse Practitioner · Kingston, OK
NPI number
1669498051
Active
Practice location
9 N Main St
Kingston, OK 73439-6562
Fax (580) 564-0250
Mailing address
PO Box 849
Tishomingo, OK 73460-0849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | R0067529 (OK) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1669498051
Addie Beth Gratz, ARNP's National Provider Identifier is 1669498051, issued on Jul 15, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kingston, OK. The record was last updated on Oct 24, 2017.