Individual
QIONG MU ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
625 N MONTE VISTA ST, ADA, OK 74820-4613
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99604
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200592400A
—
OK
Enumeration date
03/20/2015
Last updated
08/21/2025
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