Individual
CHECOTAH BRIT PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4550
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4550
(580) 421-8268
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
211367
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-311195
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
OK
Enumeration date
06/13/2023
Last updated
06/13/2023
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