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Individual

LINDSAY MARIE GAVIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC

Contact information

Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0111271
OK
363LF0000X
Family Nurse Practitioner
764051
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R0111271
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111271
OKLAHOMA STATE APRN LICENSE
OK
01
764051
TEXAS STATE APRN LICENSE
TX
Enumeration date
12/09/2013
Last updated
12/20/2024
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