Individual
MARLENE JANETH BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
2716 SW 44TH ST, OKLAHOMA CITY, OK 73119-3339
(405) 778-0700
Mailing address
1325 PEMBROKE DR, EDMOND, OK 73003-2750
(405) 812-8244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92390
OK
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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