| NPI | 1245095439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WALTERS Nurse Practitioner 405-216-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-11-06 |