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Individual

KATIE PANKOWSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
102 WEST CARL HUBBELL BLVD, MEEKER, OK 74855
(405) 279-4281
(918) 493-3304
Mailing address
6130 E 81ST ST, TULSA, OK 74137-2125
(918) 401-1002

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08170451
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100277
OKLAHOMA BOARD OF NURSING, ADVANCED PRACTICE
OK
Enumeration date
01/05/2018
Last updated
11/18/2025
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