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A STEP BEYOND THE REST: HEALTHCARE INNOVATIONS

Active
Other names
Amanda Recker APRN-CNP
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA RECKER APRN-CNP (SOLE PROPRIETOR/OWNER)
(580) 856-2102
Entity
Organization

Contact information

Practice address
1 MEDICAL PLAZA, BOX 26, RATLIFF CITY, OK 73481-0026
(580) 856-2102
(580) 856-3607
Mailing address
PO BOX 26, 1 MEDICAL PLAZA, RATLIFF CITY, OK 73481-0026
(580) 856-2102
(580) 856-3757

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
85617
OK
363LF0000X
Family Nurse Practitioner
85617
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467753004
AUTHORIZED PROVIDER NPI
OK
Enumeration date
10/15/2012
Last updated
10/31/2012
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