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Far More Aprn-Cnp,pc

Clinic/Center, Health Services in Edmond, OK. Organization (NPI-2).

NPI number1871924969
StatusActive
Last updated in NPPESNov 27, 2013

Details

NPI
1871924969
Entity type
Organization (NPI-2)
Legal business name
Far More Aprn-Cnp,pc
Organization subpart
No
Enumeration date
Nov 27, 2013
Last updated
Nov 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health ServicesR0053173OKYes
253Z00000X In Home Supportive Care2013042559MO

Practice location

1101 N Bryant Ave
Edmond, OK 73034-3251

Phone 405-341-4643 · Fax 405-341-6383

Mailing address

1101 N Bryant Ave
Edmond, OK 73034-3251

Phone 405-341-4643 · Fax 405-341-6383

Authorized official

Janice M Moore
Nurse Practitioner
4053414643

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