Individual
MACHELLE HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 365-3577
Mailing address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 365-3577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111756
OK
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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