Individual
MRS. MYNA RUTH LAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1705 N WASHINGTON AVE STE C, DURANT, OK 74701-2100
(580) 924-5439
(580) 366-5439
Mailing address
135 BRANDI LN, DURANT, OK 74701-7404
(580) 920-8504
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
530454
TX
363LF0000X
Family Nurse Practitioner
Primary
45593
OK
363LP0200X
Pediatric Nurse Practitioner
RR0045593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101720A
—
OK
01
—
530454
TEXAS LICENSE
TX
01
—
R0045593
OK NURSING LICENSE
OK
Enumeration date
11/16/2006
Last updated
07/07/2023
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