| NPI | 1285484253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNE BANGURAH Family Nurse Practitioner 405-445-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |