Individual
NICOLE MARIE CARTWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 671-1029
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95759
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7734
FEDERAL EMPLOYEE
OK
Enumeration date
12/21/2018
Last updated
12/21/2018
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