Individual
DR. MARLANA MARIE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2550
(405) 793-9355
Mailing address
769 W PRAIRIE WAY, MUSTANG, OK 73064-2754
(405) 550-6149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202195
OK
Other
Enumeration date
05/05/2021
Last updated
06/18/2021
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