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Lori Lyn Enlow, NURSEPRACTITIONER
Nurse Practitioner in Tahlequah, Oklahoma
NPI 1700875598

Lori Lyn Enlow is a Nurse Practitioner based in Tahlequah, OK. Lori Lyn Enlow practices in Tahlequah, OK and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Lori Lyn Enlow is 1700875598 and holds a License No. R0067005 (Oklahoma).

The current practice location address for Lori Lyn Enlow is 1203 E Ross Byp, Tahlequah, OK and can be reached out via phone at 918-453-1234 and via fax at 918-453-9107.

Location: 1203 E Ross Byp, Tahlequah, OK, 74464-4158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700875598
Provider Name
Lori Lyn Enlow
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1203 E Ross Byp, Tahlequah, OK, 74464-4158
Phone Number
918-453-1234
Fax Number
918-453-9107
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200000030A 01 OK MEDICAID GROUP NUMBER
P00399872 01 OK RAILROAD MEDICARE PIN NUMBER
200073760A 05 OK
400522239 01 OK MEDICARE GROUP PTAN
DA5295 01 OK RAILROAD MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1203 E Ross Byp
City
Tahlequah
State
Oklahoma
Zip
74464
Phone Number
918-453-1234
Fax Number
918-453-9107
person
Provider Business Mailing Address Details
Address
1203 E Ross Byp
City
Tahlequah
State
Oklahoma
Zip
74464
Phone Number
918-453-1234
Fax Number
918-453-9107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R0067005 (Oklahoma)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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