Individual
MITCHELL RYAN HUDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5510
Mailing address
1725 E 19TH ST STE 500, TULSA, OK 74104-5422
(918) 744-2630
(918) 744-2946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209154
OK
Other
Enumeration date
07/13/2022
Last updated
08/29/2022
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