Individual
MRS. PENNI CARTLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
905 COLONY DR, ADA, OK 74820-2329
(580) 436-5111
(580) 453-3157
Mailing address
201 N MONTE VISTA ST, ADA, OK 74820-7213
(580) 453-3156
(580) 453-3157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69691
OK
390200000X
Student in an Organized Health Care Education/Training Program
0069691
OK
Other
Enumeration date
04/13/2016
Last updated
02/22/2023
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