Doctor Name: | ALICIA K PRICE |
NPI Number: | 1215288519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 76709 |
Business Practice Address: | 1710 W 3rd St Elk City, OK - 736445159 |
Business Phone Number: | 5802251290 |
Business Fax Number: | 5802252178 |
Mailing Address: | 1710 W 3rd St, Suite 103 ELK CITY |
State: | OK |
Postal Code: | 736445159 |
Phone Number: | 5802251290 |
Fax Number: | 5802252178 |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 76709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |