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Individual

ALISSON NICOLE WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2921 SW 89TH ST, OKLAHOMA CITY, OK 73159-6332
(405) 757-7818
(405) 703-0645
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F12180171
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
106025
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200509800A
OK
Enumeration date
01/15/2019
Last updated
02/07/2020
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