Family Medicine & Urgent Care Of Chandler, LLC
Nurse Practitioner, Family in Chandler, OK. Organization (NPI-2).
NPI number1174995336
StatusActive
Last updated in NPPESOct 28, 2015
Details
- NPI
- 1174995336
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medicine & Urgent Care Of Chandler, LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2015
- Last updated
- Oct 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R0080778 | OK | Yes |
Practice location
405 N. Industrial Rd.Chandler, OK 74834
Phone 405-258-6711 · Fax 405-258-6722
Mailing address
405 N. Industrial Rd.Chandler, OK 74834
Phone 405-258-6711 · Fax 405-258-6722
Authorized official
Sherry Diann Mitchell
Aprn-Cnp
4052407059
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