Individual
MRS. GENEVA NAN SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3405
(405) 945-5560
Mailing address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3405
(405) 945-5560
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
27866
OK
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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