Individual provider · NPI-1

Colleen Afadama

Nurse Practitioner, Family · Oklahoma City, OK

NPI number1902392483
StatusActive
Last updated in NPPESDec 29, 2019

Details

NPI
1902392483
Entity type
Individual (NPI-1)
Name
Colleen Afadama
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2018
Certification date
Dec 29, 2019
Last updated
Dec 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP137914TXYes

Practice location

10204 Hawthorn Dr
Oklahoma City, OK 73120-2800

Phone 405-833-1184

Mailing address

10204 Hawthorn Dr
Oklahoma City, OK 73120-2800

Phone 405-833-1184

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