Individual
CARRIE CULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
Mailing address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79647
OK
Other
Enumeration date
01/30/2017
Last updated
09/16/2020
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