Individual
KATRINA MICHELLE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
3908 LAKESHIRE RIDGE CT, EDMOND, OK 73034-1049
(405) 315-4070
Mailing address
3908 LAKESHIRE RIDGE CT, EDMOND, OK 73034-1049
(405) 315-4070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0117290
OK
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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