Individual
BEENA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12716 NE 36TH ST, SPENCER, OK 73084-9167
(405) 769-3301
Mailing address
3500 WALDEN ESTATES DR, OKLAHOMA CITY, OK 73179-1410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94626
OK
Other
Enumeration date
08/13/2019
Last updated
12/26/2023
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