Birdena Denise Aguilera, RN
Nurse Practitioner, Family in Lawton, OK. Individual provider (NPI-1).
NPI number1063904662
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1063904662
- Entity type
- Individual (NPI-1)
- Name
- Birdena Denise Aguilera
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2018
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 200329 | OK | Yes |
| 163WE0003X | Registered Nurse, Emergency | 102602 | OK |
Practice location
1515 Ne Lawrie Tatum RdLawton, OK 73507-3002
Phone 580-354-5000
Mailing address
612 N 6th StMarlow, OK 73055-1618
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All 74 Family Nurse Practitioner providers in Lawton · All 3,248 providers in Lawton
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