Individual
JOHN MATTHEW ANTONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 S 221ST WEST AVE, SAND SPRINGS, OK 74063-5177
(918) 289-5583
Mailing address
1313 S 221ST WEST AVE, SAND SPRINGS, OK 74063-5177
(918) 289-5583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108524
OK
Other
Enumeration date
10/22/2025
Last updated
12/05/2025
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