Doctor Name: | OLIVIA BINGAMAN |
NPI Number: | 1083900310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 101921 |
Business Practice Address: | 405 S Oklahoma Ave Cherokee, OK - 737282545 |
Business Phone Number: | 5805962800 |
Business Fax Number: | 5805962805 |
Mailing Address: | 405 S Oklahoma Ave, CHEROKEE |
State: | OK |
Postal Code: | 737282545 |
Phone Number: | 5805962800 |
Fax Number: | 5805962805 |
NPI Enumeration Date: | 06/24/2011 |
NPI Last Update Date: | 06/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |