Individual
KACIE JO REIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
Mailing address
3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99093
OK
Other
Enumeration date
03/12/2019
Last updated
02/20/2024
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