Individual
CONNIE LYNN WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
808 WALL ST, NORMAN, OK 73069-6302
(405) 997-4321
Mailing address
808 WALL ST, NORMAN, OK 73069-6302
(405) 977-4321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92179
OK
Other
Enumeration date
05/29/2020
Last updated
07/30/2023
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