Individual
DIVYA JOYKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73170-4207
(405) 691-9700
(405) 691-9702
Mailing address
10700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73170-4207
(405) 691-9700
(405) 691-9702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
72409
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
72409
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254270A
—
OK
Enumeration date
07/28/2009
Last updated
08/26/2015
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