NPI | 1134403157 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LEA Ap RN/ Owner 405-753-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 62315) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |