NPI | 1811490691 |
---|---|
Doing Business As | UPTOWN MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | PORSHA LYNN RICHARDSON Member 405-474-0429 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 83097) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421072) |
Enumeration Date | 2018-03-17 |
Last Update Date | 2018-03-17 |