Individual
MARY MELINDA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
105 N INDIAN MERIDIAN RD, PAULS VALLEY, OK 73075-9236
(405) 207-9800
(405) 207-9898
Mailing address
105 N INDIAN MERIDIAN RD, PAULS VALLEY, OK 73075-9236
(405) 207-9800
(405) 207-9898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89347
OK
Other
Enumeration date
08/11/2014
Last updated
12/17/2014
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