Individual
RITA E MBA-ETUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W WILSHIRE BLVD STE 403C, OKLAHOMA CITY, OK 73116-7055
(405) 505-2505
(833) 929-3523
Mailing address
1000 W WILSHIRE BLVD STE 403C, OKLAHOMA CITY, OK 73116-7055
(405) 505-2505
(833) 929-3523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96051
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200900200A
—
OK
Enumeration date
11/13/2018
Last updated
03/06/2024
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