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NISSY PHILIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
3366 NW EXPWY, SUIT 550, OKLAHOMA CITY, OK 73112-4462
(405) 942-5442
(405) 942-6448
Mailing address
3366 NW EXPWY, SUIT 550, OKLAHOMA CITY, OK 73112-4462

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0088101
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0088101
APRN-CNP LICENCE NUMBER 0088101
OK
Enumeration date
09/21/2015
Last updated
09/21/2015
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