Individual
CHRISTIE R. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-CNP
Contact information
Practice address
109 SOUTH MAIN STREET, WETUMKA, OK 74883
(405) 452-5400
(405) 452-3000
Mailing address
1668 W LIBERTY RD, ATOKA, OK 74525-1703
(580) 889-3355
(580) 889-5272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ROO66926
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R0066926
—
OK
Enumeration date
10/26/2015
Last updated
09/03/2024
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