Individual
MARY PEEPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
813 N ASPEN AVE, BROKEN ARROW, OK 74012-2242
(618) 967-2746
Mailing address
12509 S 13TH PL, JENKS, OK 74037-3648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0128283
OK
363L00000X
Nurse Practitioner
Primary
209799
OK
Other
Enumeration date
10/06/2022
Last updated
08/21/2025
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