Individual
SAEEDA SULTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1520 S BRYANT AVE, EDMOND, OK 73013-6028
(405) 348-7982
Mailing address
4641 W NICKLAS AVE APT C, OKLAHOMA CITY, OK 73132-6931
(405) 501-7113
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
116672
OK
363LF0000X
Family Nurse Practitioner
Primary
116672
OK
Other
Enumeration date
10/22/2019
Last updated
08/12/2021
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