AMANDA SKVORTSOV

BROKEN ARROW, OK
NPI1063238665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  221063)
Enumeration Date2024-11-27
Last Update Date2024-12-02
Business Address
AMANDA SKVORTSOV APRN
109 W COMMERCIAL ST
BROKEN ARROW, OK 74012-4012
Phone number: 918-887-8300
Mailing Address
AMANDA SKVORTSOV APRN
31193 E 64TH ST S
BROKEN ARROW, OK 74014-8529
Phone number: 941-350-5179
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