| NPI | 1891222030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN COLE Owner 580-310-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK RO102439) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-21 |