Individual
MAI NICOLE LE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 NW 7TH ST, OKLAHOMA CITY, OK 73102-2810
(405) 413-4689
Mailing address
2712 SW 96TH CT, OKLAHOMA CITY, OK 73159-6736
(918) 360-5437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218733
OK
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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