Individual
MR. BLAINE K WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
5224 E I 240 SERVICE RD STE 100, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0133962
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
221785
OK
Other
Enumeration date
01/17/2025
Last updated
02/11/2025
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