Individual
NICOLE IDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
15103 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73132
(866) 389-2727
Mailing address
15103 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105925
OK
Other
Enumeration date
02/27/2018
Last updated
12/20/2022
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