| NPI | 1659623627 |
|---|---|
| Doing Business As | AMANDA RECKER APRN-CNP |
| Entity Type | Organization |
| Authorized Contact | AMANDA RECKER Sole Proprietor/Owner 580-856-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 85617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 85617) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-31 |