Individual
NICOLE MICHELLE OWEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(580) 279-7224
Mailing address
13321 BEAUMONT DR, PIEDMONT, OK 73078-3015
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
109555
OK
363LF0000X
Family Nurse Practitioner
Primary
F06182708
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06182708
AANP
OK
Enumeration date
03/08/2018
Last updated
06/29/2018
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