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Individual

SERENA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
921 NE 13TH ST # 5F-149, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
921 NE 13TH ST # 5F-149, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100518
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
100518
OK
363LF0000X
Family Nurse Practitioner
100518
OK

Other

Enumeration date
04/24/2018
Last updated
01/07/2021
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