Individual
ALYSIA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9208 WINFIELD LN, MOORE, OK 73160-9161
(405) 532-3538
Mailing address
9208 WINFIELD LN, MOORE, OK 73160-9161
(405) 532-3538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116155
OK
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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