Individual
BETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5709 E 141ST PL N, COLLINSVILLE, OK 74021-5167
(918) 671-6731
Mailing address
5709 E 141ST PL N, COLLINSVILLE, OK 74021-5167
(918) 671-6731
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R0068716
OK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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