Organization
ACADIA FAMILY MEDICAL CLINIC L.L.C.
Active
Other names
Acadia Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A FLOWERETTE ARNP, NP-C (OWNER/PROVIDER)
(918) 287-9112
Entity
Organization
Contact information
Practice address
230 E 5TH ST, PAWHUSKA, OK 74056-5204
(918) 287-9112
(918) 287-9113
Mailing address
230 E 5TH ST, PAWHUSKA, OK 74056-5204
(918) 287-9112
(918) 287-9113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27629
OK
208VP0000X
Pain Medicine Physician
27629
OK
261QP2300X
Primary Care Clinic/Center
Primary
3512416926
OK
363LF0000X
Family Nurse Practitioner
70154
OK
Other
Enumeration date
08/21/2013
Last updated
05/18/2014
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