Individual
MISTY DAWN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(888) 397-8387
Mailing address
3320 BALTIMORE AVE, MUSKOGEE, OK 74403-5917
(919) 348-4099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
84724
OK
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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