Individual
COLBY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4013 NW EXPWY ST STE 105, OKLAHOMA CITY, OK 73116-2618
(405) 378-2727
Mailing address
4013 NW EXPWY ST STE 105, OKLAHOMA CITY, OK 73116-2618
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
210976
OK
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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