Individual
MRS. ELLEN MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6205
Mailing address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
83116
OK
363L00000X
Nurse Practitioner
Primary
83116
OK
Other
Enumeration date
04/05/2017
Last updated
06/28/2017
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