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Individual

DAPHANY MARICIA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C

Contact information

Practice address
124 E MAIN ST, HULBERT, OK 74441-8902
(918) 723-3997
(918) 723-3889
Mailing address
21828 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464-8065
(918) 869-8670

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
68301
OK
363LF0000X
Family Nurse Practitioner
Primary
R0068301
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200120000A
OK
Enumeration date
08/24/2007
Last updated
06/12/2013
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