Individual
RHONDA JO DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
800 N PARK DR, BROKEN BOW, OK 74728-2146
(580) 584-7210
Mailing address
800 N PARK DR, BROKEN BOW, OK 74728-2146
(580) 584-7210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200271
OK
Other
Enumeration date
10/12/2020
Last updated
12/07/2020
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