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Main Street Family Healthcare Nurse Practitioner Clinic, Llc
Primary Care Clinic/Center in Stroud, Oklahoma
NPI 1154719169

Main Street Family Healthcare Nurse Practitioner Clinic, Llc is a Primary Care Clinic/Center based in Stroud, OK and is specialized in Primary Care. Main Street Family Healthcare Nurse Practitioner Clinic, Llc practices in Stroud, OK. The NPI Number for Main Street Family Healthcare Nurse Practitioner Clinic, Llc is 1154719169 and holds a License No. R0052024 (Oklahoma).

The current practice location address for Main Street Family Healthcare Nurse Practitioner Clinic, Llc is 309 W Main St, Stroud, OK and can be reached out via phone at 918-987-0067.

Location: 309 W Main St, Stroud, OK, 74079-3611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154719169
Provider Name
Main Street Family Healthcare Nurse Practitioner Clinic, Llc
Credential
Provider Entity Type
Organization
Address
309 W Main St, Stroud, OK, 74079-3611
Phone Number
918-987-0067
Fax Number
Provider Enumeration Date
12/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200121770A 05 OK
2005513360A 05 OK
institution
Provider Business Practice Location Address Details
Address
309 W Main St
City
Stroud
State
Oklahoma
Zip
74079-3611
Phone Number
918-987-0067
Fax Number
person
Provider Business Mailing Address Details
Address
309 W Main St
City
Stroud
State
Oklahoma
Zip
74079-3611
Phone Number
918-987-0067
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
R0052024 (Oklahoma)
Definition
Definition to come...
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