| NPI | 1154677706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A. BRUHN Director 918-894-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WC0400X Registered Nurse, Case Management | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WH0200X Registered Nurse, Home Health | |
| 164W00000X Licensed Practical Nurse | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-16 |