Individual
MRS. PATTI DENISE WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
1239 W MAIN ST, JENKS, OK 74037-2311
(918) 291-0004
(918) 296-3911
Mailing address
1239 W MAIN ST, JENKS, OK 74037-2311
(918) 291-0004
(918) 296-3911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0049248
OK
363LW0102X
Women's Health Nurse Practitioner
R0049248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003840
—
OK
Enumeration date
10/06/2006
Last updated
01/06/2011
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