Individual
WENDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1101 E 15TH ST, PAWHUSKA, OK 74056-1901
(918) 287-3232
Mailing address
641 COUNTY ROAD 2750, PAWHUSKA, OK 74056-1040
(435) 899-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127928
OK
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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