Ella Mae Edmondson
Registered Nurse, Critical Care Medicine in Lawton, OK. Individual provider (NPI-1).
NPI number1710696950
StatusActive
Last updated in NPPESNov 16, 2022
Details
- NPI
- 1710696950
- Entity type
- Individual (NPI-1)
- Name
- Ella Mae Edmondson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Nov 16, 2022
- Last updated
- Nov 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 0104236 | OK | Yes |
Practice location
1515 Ne Lawrie Tatum RdLawton, OK 73507-3002
Phone 580-354-5404
Mailing address
1515 Ne Lawrie Tatum RdLawton, OK 73507-3002
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