Individual
MRS. ANITA LYNN NOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNIM
Contact information
Practice address
1620 CASTLE ROCK RD, YUKON, OK 73099-4429
(405) 229-3131
Mailing address
1620 CASTLE ROCK RD, YUKON, OK 73099-4429
(405) 229-3131
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
R 0052919
OK
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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