Individual
AMANDA CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FATHER JOE MURPHY DR, SHAWNEE, OK 74801-8663
(405) 214-5101
Mailing address
26 FATHER JOE MURPHY DR, SHAWNEE, OK 74801-8663
(405) 214-5101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0068732
OK
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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