Organization · Type 2 NPI
Ponca City Primary Care LLC
Family Nurse Practitioner · Ponca City, OK
NPI number
1831472620
Active
Practice location
417 Fairview Ave
Ponca City, OK 74601-1923
Fax (580) 762-6104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R0050756 (OK) |
Family Nurse Practitioner: Definition to come...
About NPI 1831472620
Ponca City Primary Care LLC's National Provider Identifier is 1831472620, issued on Sep 28, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponca City, OK. The record was last updated on Sep 28, 2011.