Individual
MRS. MICHELLE JOANN MCGOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7 S MICKEY MANTLE DR, SUITE 325, OKLAHOMA CITY, OK 73104-2458
(405) 232-0101
Mailing address
7 S MICKEY MANTLE DR, SUITE 325, OKLAHOMA CITY, OK 73104-2458
(405) 232-0101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0079133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OK404154
PTAN
OK
Enumeration date
12/17/2008
Last updated
01/21/2010
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