Individual
GLADYS ONCHWATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805
Mailing address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(682) 203-6848
(580) 596-2805
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
220188
TX
363L00000X
Nurse Practitioner
Primary
M131619
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP135264
TX
Other
Enumeration date
01/05/2013
Last updated
02/25/2025
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