Organization
AUTUMN HEMBREE APRN-CNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN HEMBREE APRN-CNP (NURSE PRACTITIONER)
(918) 649-0069
Entity
Organization
Contact information
Practice address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
Mailing address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200749330A
—
OK
Enumeration date
10/07/2019
Last updated
10/07/2019
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