Individual
PRESTON HASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1609 W BROADWAY ST, COLLINSVILLE, OK 74021-7402
(918) 864-5475
Mailing address
1609 W BROADWAY ST, COLLINSVILLE, OK 74021
(918) 864-5475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200855
OK
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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