Individual
EVA CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1908 N 14TH ST STE 206, PONCA CITY, OK 74601-2039
(580) 718-4508
(580) 718-4528
Mailing address
1908 N 14TH ST STE 201, PONCA CITY, OK 74601-2039
(580) 718-4508
(580) 718-4508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94848
OK
Other
Enumeration date
02/22/2017
Last updated
11/04/2021
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