Individual
ELLEN EVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3998
(405) 366-3804
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3998
(405) 366-3804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66956
OK
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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