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Individual

MONICA ALAINE TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
613 NW 117TH ST, OKLAHOMA CITY, OK 73114-7922
(405) 824-1378
Mailing address
613 NW 117TH ST, OKLAHOMA CITY, OK 73114-7922
(405) 824-1378

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226079
OK
163WA2000X
Administrator Registered Nurse
A0044
OK
163WC1500X
Community Health Registered Nurse
Primary
226079
OK
164W00000X
Licensed Practical Nurse
L0042116
OK

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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