Individual
PHILICIA MARIA GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1029 E VANDAMENT AVE, YUKON, OK 73099-4949
(405) 350-4300
(405) 350-4302
Mailing address
1029 E VANDAMENT AVE, YUKON, OK 73099-4949
(405) 350-4300
(405) 350-4302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0062152
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0062152
ARNP LICENSURE
OK
Enumeration date
06/24/2006
Last updated
02/21/2023
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