Individual
MELISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1601 W UTICA ST, BROKEN ARROW, OK 74011-1600
(918) 361-9458
Mailing address
1601 W UTICA ST, BROKEN ARROW, OK 74011-1600
(918) 361-9458
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
80878
OK
363LF0000X
Family Nurse Practitioner
Primary
207681
OK
Other
Enumeration date
11/30/2016
Last updated
05/04/2022
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