Individual
IVY CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
620 24TH AVE SW, NORMAN, OK 73069-3913
(405) 217-9997
Mailing address
620 24TH AVE SW, NORMAN, OK 73069-3913
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
207863
OK
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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