Individual
NICHOLE WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
839 NE 19TH ST, OKLAHOMA CITY, OK 73105-8227
(405) 743-5785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
85649
OK
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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