Individual
AMY C. COSTNER-LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3366 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73112-4416
(405) 713-9930
(405) 713-9931
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-9930
(405) 713-9931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100294
OK
Other
Enumeration date
05/20/2006
Last updated
08/22/2019
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