Organization
UPTOWN MEDICAL CENTER APRN-CNP, PLLC
Active
Parent organization
UPTOWN MEDICAL CENTER
Other names
Uptown Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPTOWN MEDICAL CENTER
Authorized official
MS. PORSHA LYNN RICHARDSON NP (MEMBER)
(405) 474-0429
Entity
Organization
Contact information
Practice address
1207 S SUNNYLANE RD, DEL CITY, OK 73115-3011
(405) 208-4573
(405) 429-0483
Mailing address
PO BOX 55691, DEL CITY, OK 73155-0691
(405) 208-4573
(405) 429-0483
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
83097
OK
363LW0102X
Women's Health Nurse Practitioner
421072
NY
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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