Individual
SHANNA POOR BUFFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP-FAMILY
Contact information
Practice address
709 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 310-9899
(580) 310-9818
Mailing address
709 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 310-9899
(580) 310-9818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103544
OK
Other
Enumeration date
07/06/2016
Last updated
09/15/2022
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