Individual
ALICIA CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
RR 2 BOX 7155, WESTVILLE, OK 74965-9433
(918) 723-3997
(918) 723-3889
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-3638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57828
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57828
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
12/23/2015
Last updated
12/23/2015
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