Individual
HAZEL LOUISE REEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 485-9696
(918) 485-1701
Mailing address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 485-9696
(918) 485-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0049114
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352276246
TAX ID
OK
Enumeration date
04/15/2010
Last updated
07/11/2011
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