Individual
LISA RHYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69780
OK
Other
Enumeration date
01/10/2006
Last updated
09/14/2016
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