Individual
MIA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3011
Mailing address
220 N CHRIS TER, MUSTANG, OK 73064-6315
(405) 543-3741
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
221259
OK
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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