NPI 1073967246 MARYSUE ELIZABETH FARRIS WANETTE OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Marysue Elizabeth Farris - NPI: 1073967246

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MARYSUE ELIZABETH FARRIS
NPI Number: 1073967246
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: R0050272
Business Practice Address: 2900 S Telephone Rd
Suite 250 Moore, OK - 731602968
Business Phone Number: 4052377500
Business Fax Number:
Mailing Address: 35737 Hamilton Rd,
WANETTE
State: OK
Postal Code: 748786025
Phone Number: 4058086160
Fax Number:
NPI Enumeration Date: 04/14/2016
NPI Last Update Date: 04/14/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 163WA2000X
License Number: R0050272
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Nursing Service Providers
Taxonomy Classification: Registered Nurse
Taxonomy Specialization: Administrator
Taxonomy Definition:


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