Individual
MRS. PHYLLIS A. PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678
(918) 274-9700
(918) 274-1395
Mailing address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678
(918) 274-9700
(918) 274-1395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79303
OK
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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