Individual
ANITA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W MARTIN LUTHER KING ST, MUSKOGEE, OK 74401-3351
(918) 682-0222
(918) 682-0221
Mailing address
3013 AZALEA PARK DR, MUSKOGEE, OK 74401-2285
(918) 201-9750
(918) 201-9750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83161
OK
Other
Enumeration date
06/03/2019
Last updated
03/02/2026
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