Individual
BRANDI DON PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 C ST NW, ARDMORE, OK 73401-6216
(580) 223-0655
(580) 223-0655
Mailing address
207 C ST NW, ARDMORE, OK 73401-6216
(580) 223-0655
(580) 223-3267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200-520
OK
Other
Enumeration date
01/25/2021
Last updated
06/29/2021
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