Individual
MARYALICE CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2100 W IOWA AVE STE A, CHICKASHA, OK 73018-2736
(405) 224-2100
Mailing address
2100 W IOWA AVE STE A, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2814
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211715
OK
Other
Enumeration date
01/26/2023
Last updated
03/03/2025
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