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Individual

MITZI BRASSEAUX SAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
1912 ROSEDALE DR, EDMOND, OK 73013-6641
(405) 633-6310

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0113246
OK
363L00000X
Nurse Practitioner
Primary
214502
OK

Other

Enumeration date
07/12/2022
Last updated
10/03/2024
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