Organization
RADIANT HEALTH & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HASINA JOHNSON CNP, APRN, FNP-BC (FAMILY NURSE PRACTITIONER)
(405) 973-5284
Entity
Organization
Contact information
Practice address
215 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4320
(405) 973-5284
Mailing address
PO BOX 18144, OKLAHOMA CITY, OK 73154-0144
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
10/08/2024
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