Individual
LELA J. GOATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
716 S HIGHWAY 77, NEWKIRK, OK 74647-7009
(580) 362-2555
(580) 362-2948
Mailing address
716 S HIGHWAY 77, NEWKIRK, OK 74647-7009
(580) 362-2555
(580) 362-2948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
100973
OK
363LF0000X
Family Nurse Practitioner
Primary
46230
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200418170A
—
OK
Enumeration date
10/16/2008
Last updated
03/17/2018
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