| NPI | 1306244181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LYN STEWART Pediatric Nurse Practitioner 918-856-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 0056184) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2015-02-24 |