institution
Old Tyme Home Visits Llc
Gerontology Nurse Practitioner in Purcell, Oklahoma
NPI 1659748556

Old Tyme Home Visits Llc is a Gerontology Nurse Practitioner based in Purcell, OK and is specialized in Gerontology. Old Tyme Home Visits Llc practices in Purcell, OK. The NPI Number for Old Tyme Home Visits Llc is 1659748556 and holds a License No. 49456 (Oklahoma).

The current practice location address for Old Tyme Home Visits Llc is 128 W Main St, Purcell, OK and can be reached out via phone at 405-527-4704 and via fax at 405-527-5976.

Location: 128 W Main St, Purcell, OK, 73080-4220
institution
Provider Profile Details
NPI Number
1659748556
Provider Name
Old Tyme Home Visits Llc
Credential
Provider Entity Type
Organization
Address
128 W Main St, Purcell, OK, 73080-4220
Phone Number
405-527-4704
Fax Number
405-527-5976
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 W Main St
City
State
Zip
73080-4220
Phone Number
405-527-4704
Fax Number
405-527-5976
person
Provider Business Mailing Address Details
Address
128 W Main St
City
State
Zip
73080-4220
Phone Number
405-527-4704
Fax Number
405-527-5976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
49456 (Oklahoma)
Definition
Definition to come...
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