Individual
CASEY J WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
206 N 16TH ST, HUGO, OK 74743-4205
(580) 920-2122
(580) 920-9976
Mailing address
PO BOX 579, DURANT, OK 74702-0579
(580) 920-2122
(580) 920-9976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85721
OK
Other
Enumeration date
04/12/2016
Last updated
12/19/2016
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