Individual
MS. NANCY ANNE DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
106 W. MAIN ST, TIPTON, OK 73570
(580) 667-4149
(580) 667-4166
Mailing address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0048099
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051130A
—
OK
Enumeration date
07/28/2006
Last updated
05/03/2011
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