| NPI | 1952718140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI HERRIAN Nurse Practitioner 405-321-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 79034) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-07-19 |