Individual
MS. MARY ANNE SECRIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS
Contact information
Practice address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3834
(405) 634-5529
(405) 636-1673
Mailing address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3834
(405) 634-5529
(405) 636-1673
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0026857
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0026857
RN LICENSE
OK
Enumeration date
07/15/2005
Last updated
07/08/2007
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