Individual
MICKI ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(844) 458-2100
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47442
OK
Other
Enumeration date
12/27/2025
Last updated
03/24/2026
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