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Mr. Storm Michael Eagle, APRN-CNP
Family Nurse Practitioner in Moore, Oklahoma
NPI 1649607383

Storm Michael Eagle is a Family Nurse Practitioner based in Norman, OK and is specialized in Family. Storm Michael Eagle practices in Moore, OK and has the professional credentials of APRN-CNP. The NPI Number for Storm Michael Eagle is 1649607383 and holds a License No. 72469 (Oklahoma).

The current practice location address for Storm Michael Eagle is 303 Se 4Th St, Moore, OK and can be reached out via phone at 405-515-0530 and via fax at 405-307-5651.

Location: 303 Se 4Th St, Moore, OK, 73070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649607383
Provider Name
Storm Michael Eagle
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Male
Address
303 Se 4Th St, Moore, OK, 73070
Phone Number
405-515-0530
Fax Number
405-307-5651
Provider Enumeration Date
09/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
303 Se 4Th St
City
Moore
State
Oklahoma
Zip
73160-6709
Phone Number
405-515-0530
Fax Number
405-307-5651
person
Provider Business Mailing Address Details
Address
303 Se 4Th St
City
Moore
State
Oklahoma
Zip
73160-6709
Phone Number
405-515-0530
Fax Number
405-307-5651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
72469 (Oklahoma)
Definition
Definition to come...
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