Individual
KRISTI IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 NW 36TH ST STE 100, OKLAHOMA CITY, OK 73112-7844
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98211
OK
363LF0000X
Family Nurse Practitioner
201603482NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
F0116331
OK
Other
Enumeration date
01/18/2016
Last updated
05/06/2022
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