Organization
WATTS WELLNESS WORTH MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI RANAY WATTS APRN, FNP-BC (OWNER/PROVIDER)
(405) 301-7581
Entity
Organization
Contact information
Practice address
902 S PINE ST, STILLWATER, OK 74074-5453
(918) 221-0896
(405) 402-3245
Mailing address
357620 E 760 RD, CUSHING, OK 74023-6710
(405) 301-7581
(405) 402-3245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336657022
NPI
OK
Enumeration date
01/03/2023
Last updated
01/03/2023
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