Individual
MRS. MICHELLE DIANE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
411 W GRAND AVE, CHICKASHA, OK 73018-5862
(405) 224-0053
Mailing address
4133 BLUE RIDGE AVE, NORMAN, OK 73072-4043
(405) 613-8538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224385
OK
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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