Individual
MEGAN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
700 NE 10TH ST, OKLAHOMA CITY, OK 73104-5404
(405) 271-4700
Mailing address
17804 GRIFFIN GATE DR, EDMOND, OK 73012-9724
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
215286
OK
Other
Enumeration date
11/08/2021
Last updated
11/13/2023
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