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Children, Adolescent And Family
Family Nurse Practitioner in Mcalester, Oklahoma
NPI 1134420722

Children, Adolescent And Family is a Family Nurse Practitioner based in Mcalester, OK and is specialized in Family. Children, Adolescent And Family practices in Mcalester, OK. The NPI Number for Children, Adolescent And Family is 1134420722 and holds a License No. (Oklahoma).

The current practice location address for Children, Adolescent And Family is 201 S 5Th St, Mcalester, OK and can be reached out via phone at 918-916-2636 and via fax at 918-426-5439.

Location: 201 S 5Th St, Mcalester, OK, 74501-7704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134420722
Provider Name
Children, Adolescent And Family
Credential
Provider Entity Type
Organization
Address
201 S 5Th St, Mcalester, OK, 74501-7704
Phone Number
918-916-2636
Fax Number
918-426-5439
Provider Enumeration Date
11/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200266780C 05 OK
institution
Provider Business Practice Location Address Details
Address
201 S 5Th St
City
Mcalester
State
Oklahoma
Zip
74501-5411
Phone Number
918-916-2636
Fax Number
918-426-5439
person
Provider Business Mailing Address Details
Address
201 S 5Th St
City
Mcalester
State
Oklahoma
Zip
74501-5411
Phone Number
918-916-2636
Fax Number
918-426-5439
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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