MEGAN ELIZABETH BLACK

BROKEN BOW, OK
NPI1568820140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  100330)
Enumeration Date2016-02-10
Last Update Date2018-08-07
Business Address
Mrs. MEGAN ELIZABETH BLACK APRN, C-NP
110 W 1ST ST
BROKEN BOW, OK 74728
Phone number: 580-584-3099
Mailing Address
Mrs. MEGAN ELIZABETH BLACK APRN, C-NP
110 W 1ST ST
BROKEN BOW, OK 74728-3902
Phone number: 580-584-3099