Organization · Type 2 NPI
Healthcare Stat of Anadarko Inc
Family Nurse Practitioner · Anadarko, OK
NPI number
1811359607
Active
Practice location
1503 S Mission St, Suite A
Anadarko, OK 73005-5815
Fax (405) 247-1155
Mailing address
PO Box 5908
Norman, OK 73070-5908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3253 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | 97727 (OK) |
Family Nurse Practitioner: Definition to come...
About NPI 1811359607
Healthcare Stat of Anadarko Inc's National Provider Identifier is 1811359607, issued on Mar 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anadarko, OK. The record was last updated on May 18, 2016.