Organization · Type 2 NPI

Vip Primary Care LLC

Family Nurse Practitioner · Broken Arrow, OK

NPI number 1700700416 Active

Practice location

3816 W Van Buren St
Broken Arrow, OK 74011-1912

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1700700416

Vip Primary Care LLC's National Provider Identifier is 1700700416, issued on Aug 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 5, 2026.