Individual
MRS. ANGELA MARDENBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5404 SW LEE BLVD, LAWTON, OK 73505-9521
(580) 355-5242
(580) 355-5245
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2662
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
100136
OK
363LF0000X
Family Nurse Practitioner
Primary
219885
OK
Other
Enumeration date
05/31/2016
Last updated
12/23/2024
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