Individual
ELISA RENEE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-1401
(405) 694-0763
Mailing address
3122 NW EXPRESSWAY APT 194, OKLAHOMA CITY, OK 73112-4021
(405) 694-0763
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
207617
OK
163WC1500X
Community Health Registered Nurse
207617
OK
163WH0200X
Home Health Registered Nurse
207617
OK
163WL0100X
Lactation Consultant (Registered Nurse)
207617
OK
163WM0102X
Maternal Newborn Registered Nurse
207617
OK
163WN1003X
Nutrition Support Registered Nurse
207617
OK
163WP1700X
Perinatal Registered Nurse
Primary
207617
OK
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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