Individual
LARESA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 591-5700
(918) 756-4490
Mailing address
PO BOX 400, OKMULGEE, OK 74447-0400
(918) 591-5756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91850
OK
363LF0000X
Family Nurse Practitioner
Primary
91850
OK
Other
Enumeration date
08/16/2016
Last updated
04/16/2019
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