Individual
JOAN ANASTASIA MERRIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 HILLCREST DR, PONCA CITY, OK 74604-4808
(580) 765-1777
Mailing address
703 E OVERBROOK AVE, PONCA CITY, OK 74601-3415
(580) 765-3221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ROO60491
OK
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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