Individual
CARLA DELYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
2340 E MAIN ST, CUSHING, OK 74023-2905
(918) 225-6904
(918) 225-4559
Mailing address
3608 S FOUNTAIN VIEW DR, STILLWATER, OK 74074-2477
(405) 535-5155
(918) 225-4559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0053789
OK
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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