| Doctor Name: | MARIE LINDSAY PARDUE |
| NPI Number: | 1245433895 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | R0083092 |
| Business Practice Address: | 104 N 4th St Hugo, OK - 747434003 |
| Business Phone Number: | 5803267531 |
| Business Fax Number: | 5803262377 |
| Mailing Address: | Po Box 271, BOSWELL |
| State: | OK |
| Postal Code: | 747270271 |
| Phone Number: | 5805661271 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R0083092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |