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Individual

PRARTHANA BHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13616 E 103RD ST N, OWASSO, OK 74055-4586
(918) 274-8555
Mailing address
5610 S 43RD ST, ROGERS, AR 72758-8937

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024035463
MO
363LF0000X
Family Nurse Practitioner
218199
AR
363LF0000X
Family Nurse Practitioner
Primary
220302
OK

Other

Enumeration date
06/13/2024
Last updated
10/31/2024
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