Individual
HALLI J ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2017 W I 35 FRONTAGE RD STE 170, EDMOND, OK 73013-8558
(405) 757-3742
(405) 757-3744
Mailing address
2017 W I 35 FRONTAGE RD STE 170, EDMOND, OK 73013-8558
(405) 757-3742
(405) 757-3744
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
106246
OK
363LF0000X
Family Nurse Practitioner
Primary
R0106246
OK
Other
Enumeration date
03/21/2020
Last updated
09/09/2022
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