Individual
CAROLYNE BANGURAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 N WALKER AVE STE 103, OKLAHOMA CITY, OK 73102-3035
(405) 445-9555
(866) 728-2564
Mailing address
600 N WALKER AVE STE 103, OKLAHOMA CITY, OK 73102-3035
(405) 445-9555
(866) 728-2564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704277484
MI
363LF0000X
Family Nurse Practitioner
Primary
205113
OK
363LF0000X
Family Nurse Practitioner
4704277484
MI
Other
Enumeration date
04/21/2017
Last updated
03/20/2024
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