Individual
CRYSTAL OLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
307 N BROADWAY ST, POTEAU, OK 74953-3355
(918) 647-2349
(918) 647-2358
Mailing address
210 OAK ST STE 276, POTEAU, OK 74953-2339
(918) 647-2349
(918) 647-2358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
93039
OK
Other
Enumeration date
03/15/2018
Last updated
07/13/2026
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