Individual
MICHELE W MARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER A
Contact information
Practice address
1501 SE 19TH, EDMOND, OK 73013-6618
(405) 348-6611
(405) 348-9280
Mailing address
1501 SE 19TH, EDMOND, OK 73013-6618
(405) 348-6611
(405) 348-9280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R63497
OK
Other
Enumeration date
03/02/2006
Last updated
12/02/2009
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