Individual
MYRNA UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
950 N PORTER AVE, SUITE 300, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Mailing address
950 N PORTER AVE, SUITE 300, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0031350
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114590A
—
OK
Enumeration date
08/17/2005
Last updated
07/15/2010
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