Individual
SAMANTHA CHANDLER HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
21 PICKLE LN, HEAVENER, OK 74937-9400
(918) 567-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
72521
OK
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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