Organization
GILEAD TELEHEALTH
Active
Other names
Gilead Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALINE ETAWU EPIE APRN, CNP, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(240) 551-3447
Entity
Organization
Contact information
Practice address
200 VICKSBURG AVE APT M2, NORMAN, OK 73071-2479
(240) 551-3447
(405) 217-2058
Mailing address
200 VICKSBURG AVE APT M2, NORMAN, OK 73071-2479
(240) 551-3447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN
—
OK
Enumeration date
09/14/2021
Last updated
09/14/2021
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