| NPI | 1689120289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE STEPHENS Member 405-821-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0058331) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-07 |