Individual
MARY GERTRUDE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
429 W ELM ST, HOBART, OK 73651-1615
(580) 726-5088
Mailing address
429 W ELM ST, HOBART, OK 73651-1615
(580) 726-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0064303
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200478250A
—
OK
01
—
R0064303
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
02/12/2013
Last updated
10/25/2024
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