Individual
HANNAH RAE BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-2316
Mailing address
201 NW 17TH ST APT 3, OKLAHOMA CITY, OK 73103-3453
(918) 361-4994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-10822
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/03/2020
Last updated
07/16/2021
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