Justina R Alfonso, ARNP
Nurse Practitioner, Pediatrics in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1932384062
StatusActive
Last updated in NPPESApr 29, 2015
Details
- NPI
- 1932384062
- Entity type
- Individual (NPI-1)
- Name
- Justina R Alfonso
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2008
- Last updated
- Apr 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 20020259 | OK | Yes |
Practice location
4400 N Lincoln BlvdOklahoma City, OK 73105-5104
Phone 405-425-0361 · Fax 405-419-3075
Mailing address
4400 N Lincoln BlvdOklahoma City, OK 73105-5104
Phone 405-425-0361 · Fax 405-419-3075
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