Individual
BRANDY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366
Mailing address
11570 E KAY ST, CLAREMORE, OK 74017-6960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0063153
OK
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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