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Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc
Primary Care Clinic/Center in Wilburton, Oklahoma
NPI 1538671425

Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc is a Primary Care Clinic/Center based in Wilburton, OK and is specialized in Primary Care. Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc practices in Wilburton, OK. The NPI Number for Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc is 1538671425 and holds a License No. 72256 (Oklahoma).

The current practice location address for Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc is 210 W Main St, Wilburton, OK and can be reached out via phone at 918-465-9612 and via fax at 918-465-9613.

Location: 210 W Main St, Wilburton, OK, 74578-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538671425
Provider Name
Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc
Credential
Provider Entity Type
Organization
Address
210 W Main St, Wilburton, OK, 74578-4046
Phone Number
918-465-9612
Fax Number
918-465-9613
Provider Enumeration Date
10/31/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200426120A 05 OK
institution
Provider Business Practice Location Address Details
Address
210 W Main St
City
Wilburton
State
Oklahoma
Zip
74578-4046
Phone Number
918-465-9612
Fax Number
918-465-9613
person
Provider Business Mailing Address Details
Address
210 W Main St
City
Wilburton
State
Oklahoma
Zip
74578-4046
Phone Number
918-465-9612
Fax Number
918-465-9613
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
72256 (Oklahoma)
Definition
Definition to come...
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