Individual
MISS NEVIESH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
828 NW 19TH ST, MOORE, OK 73160-1302
(405) 686-3853
Mailing address
828 NW 19TH ST, MOORE, OK 73160-1302
(405) 686-3853
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R107033
OK
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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