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Elizabeth H. Widaski, RN
Adult Health Nurse Practitioner in Oklahoma City, Oklahoma
NPI 1730224924

Elizabeth H. Widaski is an Adult Health Nurse Practitioner based in Oklahoma City, OK and is specialized in Adult Health. Elizabeth H. Widaski practices in Oklahoma City, OK and has the professional credentials of RN. The NPI Number for Elizabeth H. Widaski is 1730224924 and holds a License No. 632316 (Oklahoma).

The current practice location address for Elizabeth H. Widaski is 4200 W Memorial Rd Ste 410, Oklahoma City, OK and can be reached out via phone at 405-608-3866 and via fax at 405-607-2976.

Location: 4200 W Memorial Rd Ste 410, Oklahoma City, OK, 73120-8305
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Provider Profile Details
NPI Number
1730224924
Provider Name
Elizabeth H. Widaski
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4200 W Memorial Rd Ste 410, Oklahoma City, OK, 73120-8305
Phone Number
405-608-3866
Fax Number
405-607-2976
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200197740A 05 OK
institution
Provider Business Practice Location Address Details
Address
4200 W Memorial Rd Ste 410
City
State
Zip
73120-8305
Phone Number
405-608-3866
Fax Number
405-607-2976
person
Provider Business Mailing Address Details
Address
4200 W Memorial Rd Ste 410
City
State
Zip
73120-8305
Phone Number
405-608-3866
Fax Number
405-607-2976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
632316 (Texas)
Definition
Definition to come...
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