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Individual

MS. PAMELA LAURA MIGLIACCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
1520 S BRYANT AVE, EDMOND, OK 73013-6028
(866) 389-2727
(405) 945-9151
Mailing address
PO BOX 155, HARRAH, OK 73045-0155
(405) 408-4853
(405) 945-9151

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
92469
OK
363LF0000X
Family Nurse Practitioner
Primary
R00469
OK
363LP2300X
Primary Care Nurse Practitioner
R00469
OK

Other

Enumeration date
07/20/2015
Last updated
11/26/2024
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