Individual
MS. BRANDI GYNN HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
36640 HWY 270 & BARKING WATER RD, WEWOKA, OK 74884
(405) 257-6282
(405) 257-3344
Mailing address
4785 COUNTY ROAD 1520, ADA, OK 74820
(580) 421-7281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91059
OK
363LF0000X
Family Nurse Practitioner
Primary
91059
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578010716
—
OK
Enumeration date
09/06/2016
Last updated
01/05/2023
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