Individual
NICKI CARRIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
2720 HOMESTEAD N, PONCA CITY, OK 74604-3222
(580) 304-6298
Mailing address
2720 HOMESTEAD N, PONCA CITY, OK 74604-3222
(580) 304-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
97373
OK
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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