institution
Providence Family Practice, Pllc
Family Nurse Practitioner in Oklahoma City, Oklahoma
NPI 1215185491

Providence Family Practice, Pllc is a Family Nurse Practitioner based in Oklahoma City, OK and is specialized in Family. Providence Family Practice, Pllc practices in Oklahoma City, OK. The NPI Number for Providence Family Practice, Pllc is 1215185491 and holds a License No. R0058523 (Oklahoma).

The current practice location address for Providence Family Practice, Pllc is 1016 Sw 44Th St Ste 400, Oklahoma City, OK and can be reached out via phone at 405-702-9050. You can also correspond with Providence Family Practice, Pllc through the mailing address at 1016 SW 44TH ST STE 400, OKLAHOMA CITY, OK - 73109-3617 (mailing address contact number: 405-702-9050).

Location: 1016 Sw 44Th St Ste 400, Oklahoma City, OK, 73109-3617
institution
Provider Profile Details
NPI Number
1215185491
Provider Name
Providence Family Practice, Pllc
Credential
Provider Entity Type
Organization
Address
1016 Sw 44Th St Ste 400, Oklahoma City, OK, 73109-3617
Phone Number
405-702-9050
Fax Number
Provider Enumeration Date
08/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200087300A 05 OK
institution
Provider Business Practice Location Address Details
Address
1016 Sw 44Th St Ste 400
City
State
Zip
73109-3617
Phone Number
405-702-9050
Fax Number
person
Provider Business Mailing Address Details
Address
1016 Sw 44Th St Ste 400
City
State
Zip
73109-3617
Phone Number
405-702-9050
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
R0058523 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R0058523 (Oklahoma)
Definition
Definition to come...
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