Individual
AMY KURIAN MANFREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1200 EVERETT DR, 7TH FLOOR, NORTH PAVILION, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
Mailing address
13113 BOX CANYON RD, OKLAHOMA CITY, OK 73142-6203
(405) 863-4756
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R85919
OK
Other
Enumeration date
02/16/2012
Last updated
01/14/2014
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