Individual
NICOLE MARIE MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-7498
Mailing address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-7498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2727
OK
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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