Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1668 W LIBERTY RD, ATOKA, OK 74525-1703
(580) 364-0227
(580) 364-0351
Mailing address
1668 W LIBERTY RD, ATOKA, OK 74525-1703
(580) 326-6423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09190086
OK
Other
Enumeration date
10/10/2019
Last updated
10/01/2020
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