Individual
MS. CAROL ANN WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2210 DUNCAN REGIONAL LOOP, DUNCAN, OK 73533-1564
(580) 251-6657
Mailing address
1015 W PINE AVE, DUNCAN, OK 73533-4257
(405) 234-0065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R29458
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200244760A
—
OK
Enumeration date
05/06/2009
Last updated
09/16/2021
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