Individual
CAROL ANN DEMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7600 S HIGHWAY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 332-4395
Mailing address
7600 S HIGHWAY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 332-4395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69259
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100710600G
—
OK
05
—
200186820A
—
OK
05
—
200468380C
—
OK
Enumeration date
12/04/2007
Last updated
01/25/2017
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