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Nickolas Lee Sitter
Medical Physician Assistant in Prague, Oklahoma
NPI 1205502994

Nickolas Lee Sitter is a Medical Physician Assistant based in Shawnee, OK and is specialized in Medical. Nickolas Lee Sitter practices in Prague, OK. The NPI Number for Nickolas Lee Sitter is 1205502994 and holds a License No. (Oklahoma).

The current practice location address for Nickolas Lee Sitter is 1322 Klabzuba Ave, Prague, OK and can be reached out via phone at 405-567-2295.

Location: 1322 Klabzuba Ave, Prague, OK, 74804-9371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205502994
Provider Name
Nickolas Lee Sitter
Credential
Provider Entity Type
Individual
Gender
Male
Address
1322 Klabzuba Ave, Prague, OK, 74804-9371
Phone Number
405-567-2295
Fax Number
Provider Enumeration Date
08/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1322 Klabzuba Ave
City
Prague
State
Oklahoma
Zip
74864-4900
Phone Number
405-567-2295
Fax Number
person
Provider Business Mailing Address Details
Address
1322 Klabzuba Ave
City
Prague
State
Oklahoma
Zip
74864-4900
Phone Number
405-567-2295
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5202 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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