Organization
ISABELLE ZLATNIK, APRN-CNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY JANSON (OFFICE ADMINISTRATOR)
(580) 248-8000
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD STE B1, LAWTON, OK 73505-5977
(580) 248-8000
(580) 248-8001
Mailing address
4411 W GORE BLVD STE B1, LAWTON, OK 73505-5977
(580) 248-8000
(580) 248-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200798930A
—
OK
Enumeration date
01/10/2019
Last updated
12/19/2019
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