| NPI | 1700989316 |
|---|---|
| Former Name | MISTY CHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 67385) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0067385) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 67385) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-12-03 |