Individual
DENISE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 NW 157TH ST, EDMOND, OK 73013-1404
(405) 974-8374
Mailing address
1828 NW 157TH ST, EDMOND, OK 73013-1404
(405) 974-8374
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
77722
OK
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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