Individual
MR. BENJAMIN C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 577-3699
Mailing address
13602 E 90TH CT N, OWASSO, OK 74055-2094
(918) 527-1655
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
91198
OK
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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