Elizabeth H. Widaski, RN
Nurse Practitioner, Adult Health in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1730224924
StatusActive
Last updated in NPPESFeb 24, 2017
Details
- NPI
- 1730224924
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth H. Widaski
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Feb 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 91951 | OK | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 632316 | TX |
Other names
- Elizabeth H. Martinez (Former Name)
Practice location
4200 W Memorial Rd Ste 410Oklahoma City, OK 73120-8305
Phone 405-608-3866 · Fax 405-607-2976
Mailing address
4200 W Memorial Rd Ste 410Oklahoma City, OK 73120-8305
Phone 405-608-3866 · Fax 405-607-2976
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All 42 Adult Health Nurse Practitioner providers in Oklahoma City · All 27,799 providers in Oklahoma City
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