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Organization

BALANCE FAMILY PRACTICE & MEDICAL SPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCARLETT NICOLE VIRDEN DNP APRN FNP-C (OWNER OPERATOR)
(918) 397-5437
Entity
Organization

Contact information

Practice address
10330 STATE HWY 10, PAWHUSKA, OK 74056
(918) 397-5437
(918) 398-9316
Mailing address
10330 STATE HIGHWAY 10, BARTLESVILLE, OK 74056
(918) 397-5437
(918) 398-9316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93576
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200789230A
OK
Enumeration date
04/25/2018
Last updated
02/01/2024
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