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Individual

KARA NICOLE DE LA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
800 W 18TH ST STE 140, EDMOND, OK 73013-3759
(405) 696-7003
(541) 325-4041
Mailing address
1501 N MIDWEST BLVD, EDMOND, OK 73034-8412
(405) 514-8735

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108196
OK
363LF0000X
Family Nurse Practitioner
108197
OK

Other

Enumeration date
06/12/2019
Last updated
11/17/2021
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