Organization
401 MEDICAL CENTER PLLC
Active
Other names
401 Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY E. DENTON APRN-CNP, FNP-BC (OWNER/ APRN)
(918) 316-6369
Entity
Organization
Contact information
Practice address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 316-3764
(918) 398-8982
Mailing address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 316-3764
(918) 398-8982
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013603232
NPI
OK
05
—
201173250A
—
OK
Enumeration date
08/22/2023
Last updated
08/24/2023
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