Individual
BIH RHODA NUMFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E BLUE STARR DR, CLAREMORE, OK 74017-4223
(918) 341-8100
(918) 341-8139
Mailing address
PO BOX 218, CHELSEA, OK 74016-0218
(918) 341-8100
(918) 341-8139
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
96497
OK
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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