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Organization

BE WELL HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE CALDWELL APRN (NURSE PRACTICTIONER)
(405) 623-6269
Entity
Organization

Contact information

Practice address
20677 DEER HOLLOW DR, EDMOND, OK 73012-9078
(405) 570-9533
Mailing address
20677 DEER HOLLOW DR, EDMOND, OK 73012-9078
(405) 570-9533

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R78861
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200294910A
OK
01
78861
STATE NURSING LISCENSE
OK
Enumeration date
02/24/2014
Last updated
03/07/2023
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