Individual
MRS. BONNIE MARIE GERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/ADN
Contact information
Practice address
900 E MAIN ST, BLDG. 52, NORMAN, OK 73071-5305
(405) 307-4800
Mailing address
3617 NW 176TH ST, EDMOND, OK 73012-8719
(405) 326-5022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0105523
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105523
REGISTERED NURSE LICENSE
OK
Enumeration date
05/25/2012
Last updated
05/25/2012
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