Individual
MR. NATHAN VERAL HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
620 S MADISON ST STE 209A, ENID, OK 73701-7270
(580) 233-2300
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 618-1586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0101409
OK
Other
Enumeration date
06/22/2021
Last updated
10/24/2022
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