Organization
NP2GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA DE LA PENA APRN-CNP (PRESIDENT)
(405) 514-8735
Entity
Organization
Contact information
Practice address
800 W 18TH ST STE 140, EDMOND, OK 73013-3759
(405) 696-7003
(541) 325-4041
Mailing address
800 W 18TH ST STE 140, EDMOND, OK 73013-3759
(405) 696-7003
(541) 325-4041
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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