Individual
BARBRA LYNN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
26945 E 143RD ST S, COWETA, OK 74429-6685
(918) 694-1026
Mailing address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 694-1026
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
86488
OK
363L00000X
Nurse Practitioner
Primary
86488
OK
Other
Enumeration date
09/30/2019
Last updated
12/18/2019
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