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Individual

ANGELA ZEA PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4300 W MEMORIAL RD, ER DEPT., OKLAHOMA CITY, OK 73120-8304
(405) 752-3733
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0058132
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00295727
RR MEDICARE
OK
Enumeration date
07/27/2006
Last updated
03/19/2008
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