Organization · Type 2 NPI

Progressing Forward Medical and Mental Health Services LLC

Primary Care Nurse Practitioner · Yukon, OK

NPI number 1972104610 Active

Practice location

9000 NW 84th St
Yukon, OK 73099-8677

Fax (310) 356-0781

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1972104610

Progressing Forward Medical and Mental Health Services LLC's National Provider Identifier is 1972104610, issued on Nov 7, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Yukon, OK. The record was last updated on Sep 14, 2023.