Individual
NICOLE MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
93052
OK
Other
Enumeration date
11/05/2015
Last updated
04/14/2022
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