Individual
MRS. PATRICIA YANDA RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
802 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 223-3411
Mailing address
603 SMOKING OAKS DR, ARDMORE, OK 73401-9391
(580) 223-1732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0020921
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0020921
NURSING LICENSE
OK
Enumeration date
04/25/2007
Last updated
03/07/2023
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