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Individual

BRIDGET ANN VAN TREESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN-CNP

Contact information

Practice address
CLINIC 6235, 106 W STATE HIGHWAY 152, MUSTANG, OK 73064-3902
(405) 376-3340
Mailing address
CLINIC 6235, 106 W STATE HIGHWAY 152, MUSTANG, OK 73064-3902
(405) 376-3340

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
110829
OK
363LF0000X
Family Nurse Practitioner
Primary
110829
OK
363LG0600X
Gerontology Nurse Practitioner
110829
OK

Other

Enumeration date
10/03/2017
Last updated
08/20/2021
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