Individual
TRISTEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
1196 NORTH 1940 ROAD, ELK CITY, OK 73644
(580) 821-0372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129692
OK
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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