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Mr. Brian Travis Pendarvis, ARNP
Family Nurse Practitioner in Noble, Oklahoma
NPI 1417952904

Brian Travis Pendarvis is a Family Nurse Practitioner based in Noble, OK and is specialized in Family. Brian Travis Pendarvis practices in Noble, OK and has the professional credentials of ARNP. The NPI Number for Brian Travis Pendarvis is 1417952904 and holds a License No. R0067224 (Oklahoma).

The current practice location address for Brian Travis Pendarvis is 205 South Main Street, Noble, OK and can be reached out via phone at 405-872-5403 and via fax at 405-872-5407.

Location: 205 South Main Street, Noble, OK, 73068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417952904
Provider Name
Brian Travis Pendarvis
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
205 South Main Street, Noble, OK, 73068
Phone Number
405-872-5403
Fax Number
405-872-5407
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200043980A 05 OK
institution
Provider Business Practice Location Address Details
Address
205 South Main Street
City
Noble
State
Oklahoma
Zip
73068
Phone Number
405-872-5403
Fax Number
405-872-5407
person
Provider Business Mailing Address Details
Address
205 South Main Street
City
Noble
State
Oklahoma
Zip
73068
Phone Number
405-872-5403
Fax Number
405-872-5407
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R0067224 (Oklahoma)
Definition
Definition to come...
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