Individual
BREANNA MARIE WESSELHOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNPC
Contact information
Practice address
21001 SE 29TH ST, HARRAH, OK 73045-6591
(405) 391-5526
Mailing address
1912 CIMARRON TRL, CHOCTAW, OK 73020-8016
(405) 464-0191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215458
OK
Other
Enumeration date
10/05/2023
Last updated
11/15/2024
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