Grace River Women'S Health LLC
Nurse Practitioner, Women's Health in Muskogee, OK. Organization (NPI-2).
NPI number1083207682
StatusActive
Last updated in NPPESFeb 15, 2021
Details
- NPI
- 1083207682
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace River Women'S Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2021
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | – | – | Yes |
Practice location
347 S 37th StMuskogee, OK 74401-4906
Phone 918-781-2496
Mailing address
9798 S 80th St EBraggs, OK 74423-5047
Phone 918-781-2496
Authorized official
Sheila Metzger
Owner
9187812496
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