Individual
MARY CATHRYN MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8504
(405) 509-2800
(405) 509-2885
Mailing address
530 N MONTE VISTA, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0077161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200044620A
—
OK
Enumeration date
08/14/2006
Last updated
12/01/2014
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