Individual
DARYLIN DOUBLEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Mailing address
800 N OKLAHOMA AVE APT 1155, OKLAHOMA CITY, OK 73104-4406
(918) 696-9583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109794
OK
363LF0000X
Family Nurse Practitioner
Primary
109794
OK
Other
Enumeration date
06/20/2017
Last updated
01/12/2018
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