TINA DIANE GERWIN

ARDMORE, OK
NPI1033975784
Former NameTINA DIANE DORRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  216494)
Enumeration Date2024-02-21
Last Update Date2024-02-21
Business Address
Mrs. TINA DIANE GERWIN NP-C
1570 PROVENCE RD
ARDMORE, OK 73401-0401
Phone number: 580-220-4427
Mailing Address
Mrs. TINA DIANE GERWIN NP-C
1570 PROVENCE RD
ARDMORE, OK 73401-0401
Phone number: 580-220-4427