Individual
MRS. MELISSA MEAGAN STATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1610 S MAIN ST, KINGFISHER, OK 73750-4600
(405) 375-5222
(405) 375-5234
Mailing address
1610 S MAIN ST, KINGFISHER, OK 73750-4600
(405) 375-5222
(405) 375-5234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0071397
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200318780A
—
OK
Enumeration date
10/01/2010
Last updated
04/17/2013
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