Individual
MACKENZIE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7000
Mailing address
10000 PROSPER DR, OKLAHOMA CITY, OK 73151-8808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0109250
OK
363LF0000X
Family Nurse Practitioner
109250
OK
Other
Enumeration date
10/15/2018
Last updated
03/19/2024
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