Individual
CHARLOTTE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E REDWOOD AVE, SALLISAW, OK 74955-3020
(918) 775-1619
Mailing address
461717 E 1033 RD, SALLISAW, OK 74955-5166
(918) 571-3878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201590
OK
Other
Enumeration date
03/17/2021
Last updated
10/01/2021
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