Children, Adolescent And Family
Nurse Practitioner, Family in McAlester, OK. Organization (NPI-2).
NPI number1134420722
StatusActive
Last updated in NPPESOct 20, 2011
Details
- NPI
- 1134420722
- Entity type
- Organization (NPI-2)
- Legal business name
- Children, Adolescent And Family
- Organization subpart
- No
- Enumeration date
- Nov 12, 2010
- Last updated
- Oct 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
201 S 5th StMcAlester, OK 74501-5411
Phone 918-916-2636 · Fax 918-426-5439
Mailing address
1019 Kinkead RdMcAlester, OK 74501-7704
Phone 918-429-8184 · Fax 918-426-5439
Authorized official
Levenia Carey
Clinical Operations Director
9184298184
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