Individual
MITCHELL HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
904 NW 109TH ST, OKLAHOMA CITY, OK 73114-6908
(425) 343-8044
Mailing address
904 NW 109TH ST, OKLAHOMA CITY, OK 73114-6908
(425) 343-8044
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R0131768
OK
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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