institution
Shannon Bruey Pmhmp Llc
Psychiatric/Mental Health Nurse Practitioner in Enid, Oklahoma
NPI 1598347288

Shannon Bruey Pmhmp Llc is a Psychiatric/Mental Health Nurse Practitioner based in Enid, OK and is specialized in Psychiatric/Mental Health. Shannon Bruey Pmhmp Llc practices in Enid, OK. The NPI Number for Shannon Bruey Pmhmp Llc is 1598347288 and holds a License No. (Oklahoma).

The current practice location address for Shannon Bruey Pmhmp Llc is 121 W Maple Ave, Enid, OK and can be reached out via phone at 580-984-1115. You can also correspond with Shannon Bruey Pmhmp Llc through the mailing address at 121 W MAPLE AVE, ENID, OK - 73701-4027 (mailing address contact number: 580-984-1115).

Location: 121 W Maple Ave, Enid, OK, 73701-4027
institution
Provider Profile Details
NPI Number
1598347288
Provider Name
Shannon Bruey Pmhmp Llc
Credential
Provider Entity Type
Organization
Address
121 W Maple Ave, Enid, OK, 73701-4027
Phone Number
580-984-1115
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12659854717 01 OK BLUE CROSS AND BLUE SHIELD OK
institution
Provider Business Practice Location Address Details
Address
121 W Maple Ave
City
State
Zip
73701-4027
Phone Number
580-984-1115
Fax Number
person
Provider Business Mailing Address Details
Address
121 W Maple Ave
City
State
Zip
73701-4027
Phone Number
580-984-1115
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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