Individual
MARANDA MARIE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 421-8410
(918) 421-8772
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92750
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200834620A
—
OK
Enumeration date
03/11/2019
Last updated
07/10/2023
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