Individual
AMY MARIE MCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
Mailing address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117524
OK
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
117524
OK
Other
Enumeration date
08/01/2018
Last updated
12/13/2019
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