| NPI | 1740728971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY KAY WICKS Nurse Practitioner 405-410-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 91050) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |