Individual
AMIE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
705 W OAKLAND ST, BROKEN ARROW, OK 74012
(918) 251-2666
Mailing address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1626
(918) 251-2666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109598
OK
Other
Enumeration date
03/26/2018
Last updated
08/18/2018
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