| NPI | 1831075399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY DORTON Medical Biller 405-604-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-14 |