Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PONCA CITY PRIMARY CARE LLC
Active OrganizationPONCA CITY PRIMARY CARE LLC is a Family Nurse Practitioner organization located in PONCA CITY, Oklahoma. NPI 1831472620 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PONCA CITY, OK
Registration Details
- NPI Number
- 1831472620
- Provider Type
- Organization
- NPI Issued
- Sep 28, 2011 (14.857170239463 yrs)
- Last Updated
- Sep 28, 2011
- License
-
R0050756 (OK)
Practice Information
- Address
-
417 FAIRVIEW AVEPONCA CITY, OK, 746011923Browse OK providers · Browse ZIP 74601
- Phone
- 5807626100
- Fax
- 5807626104
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.