MARY ILLIG MINIELLY

OKLAHOMA CITY, OK
NPI1417086380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  R0059137)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: OK  R0059137)
Enumeration Date2007-03-05
Last Update Date2023-03-07
Business Address
Mrs. MARY ILLIG MINIELLY APRN
8100 S. WALKER AVENUE BUILDING A
OKLAHOMA CITY, OK 73139-9404
Phone number: 405-632-4468
Mailing Address
Mrs. MARY ILLIG MINIELLY APRN
8100 S. WALKER AVENUE BUILDING A
OKLAHOMA CITY, OK 73139-9404
Phone number: 405-632-4468