| NPI | 1427689215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREYON WASHINGTON Executive Director 405-455-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |