Individual
ANGELA K GAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3100 SW 89TH ST, OKLAHOMA CITY, OK 73159-7900
(405) 602-8100
Mailing address
3100 SW 89TH ST, OKLAHOMA CITY, OK 73159-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80911
OK
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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