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Individual

ANDREA LANE PUTTHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
3400 E FRANK PHILLIPS BLVD, SUITE 501, BARTLESVILLE, OK 74006-2495
(918) 331-2415
Mailing address
3400 E FRANK PHILLIPS BLVD, STE 501, BARTLESVILLE, OK 74006-2495
(918) 331-2415

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89782
OK

Other

Enumeration date
10/05/2016
Last updated
11/21/2016
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