Individual
BECKY ANNIE RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
213 AMANDA DR, YUKON, OK 73099-3384
(405) 371-9438
Mailing address
213 AMANDA DR, YUKON, OK 73099-3384
(405) 371-9438
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
R0131971
OK
363LF0000X
Family Nurse Practitioner
Primary
216010
OK
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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