Individual
CARLY MICHELE PRUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1503 S MISSION ST STE A, ANADARKO, OK 73005-5815
(405) 247-1100
(405) 247-1155
Mailing address
3333 WINDMILL RD, OKLAHOMA CITY, OK 73165-7382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86017
OK
Other
Enumeration date
10/12/2016
Last updated
10/14/2022
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