Individual
MEYGAN MODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Mailing address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216794
OK
Other
Enumeration date
02/15/2024
Last updated
08/25/2025
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