Individual provider · Type 1 NPI
Nicholette Brosseau
Urgent Care Clinic/Center · Wagoner, OK
NPI number
1720639263
Active
Practice location
1520 SW 1st St
Wagoner, OK 74467-4839
Mailing address
5130 S Hudson Pl
Tulsa, OK 74135-7509
Other practice locations
- 5130 S Hudson Pl, Tulsa, OK 74135-7509 · (918) 704-7825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Urgent Care Clinic/Center Primary | 261QU0200X | None listed |
Urgent Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1720639263
Nicholette Brosseau's National Provider Identifier is 1720639263, issued on Sep 25, 2019. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Wagoner, OK. The record was last updated on Nov 9, 2020.