Individual
BRANDI WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1523 W 9TH AVE, STILLWATER, OK 74074-5469
(405) 377-5670
(405) 377-1880
Mailing address
357620 E 760 RD, CUSHING, OK 74023-6710
(405) 301-7581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88870
OK
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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