Individual
BETH REAGAN MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
304 N MERIDIAN AVE STE D, OKLAHOMA CITY, OK 73107-6535
(405) 943-6465
Mailing address
5300 S TRIPLE X RD, CHOCTAW, OK 73020-5419
(405) 391-6951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R81261
OK
Other
Enumeration date
04/14/2011
Last updated
04/30/2012
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