Individual
NICOLE MARIE PURKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 418-9625
Mailing address
265 E 460, PRYOR, OK 74361-2150
(539) 210-2547
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/23/2023
Last updated
04/14/2024
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