Individual
CY CALLAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-8700
Mailing address
521 WEBB AVE, ADA, OK 74820-4637
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
R0137190
OK
363LF0000X
Family Nurse Practitioner
Primary
229716
OK
Other
Enumeration date
02/11/2026
Last updated
06/24/2026
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