Individual
BEVERLY F. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-6348
Mailing address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-6348
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0022216
OK
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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