Individual
EBONY C COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN FNP-C
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 438-3834
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 438-3834
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
109657
OK
Other
Enumeration date
01/03/2018
Last updated
08/27/2021
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