Individual
ELNA SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
8300 NW 77TH ST, OKLAHOMA CITY, OK 73132-3939
(405) 203-4675
Mailing address
8300 NW 77TH ST, OKLAHOMA CITY, OK 73132-3939
(405) 203-4675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
M0105958
OK
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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