Individual
ELIZABETH WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3300 CHANDLER RD STE 107, MUSKOGEE, OK 74403-4909
(918) 948-6360
Mailing address
2745 DALLAS PKWY STE 500, PLANO, TX 75093-8900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
87916
OK
363LF0000X
Family Nurse Practitioner
AP137668
TX
363LP2300X
Primary Care Nurse Practitioner
M0087916
OK
Other
Enumeration date
02/26/2018
Last updated
02/22/2024
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