Organization
HOMETOWN PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE D HERRIN APRN-CNP (MEMBER/NURSE PRACTITIONER)
(405) 591-3584
Entity
Organization
Contact information
Practice address
13511 NE 23RD ST STE 140, CHOCTAW, OK 73020-8625
(405) 591-3584
(405) 337-9596
Mailing address
890 S SANDPIPER NEST, CHOCTAW, OK 73020-7012
(405) 625-3873
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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