Individual
ANGELIA MARIE WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
659 HEREFORD DR, ELGIN, OK 73538-8424
(580) 512-8910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109613
OK
Other
Enumeration date
02/16/2019
Last updated
01/06/2022
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