| NPI | 1437492436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISA D. WEAVER Owner / Nurse Practitioner 405-359-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 71855) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-03-17 |