CHARLSIE RECORD

Family Nurse Practitioner

NPI: 1972028249IndividualAccepts Medicare

Specialties, Licenses & Credentials

Internal Medicine Physician

Internal Medicine

Code: 207R00000X

104700(OK)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

R0104700(OK)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2018

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Contact & Hours

Address: 10413 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Phone: (405) 691-4665

Quick Facts

NPI: 1972028249
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 8

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