Organization
MAIN STREET FAMILY CLINIC APRN-CNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA BEISTLE SCHROEDER APRN-CNP (FAMILY NURSE PRACTITIONER)
(918) 518-5770
Entity
Organization
Contact information
Practice address
1201 W MAIN ST, JENKS, OK 74037-2311
(918) 518-5770
(918) 518-5773
Mailing address
1201 W MAIN ST, JENKS, OK 74037-2311
(918) 518-5770
(918) 518-5773
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R00035175
OK
Other
Enumeration date
08/22/2013
Last updated
12/11/2013
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