Doctor Name: | CLEO ELLEN HIGHTOWER |
NPI Number: | 1295942340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | D62833603 |
Business Practice Address: | 310 W Lillie Blvd Madill, OK - 734461233 |
Business Phone Number: | 5087953705 |
Business Fax Number: | |
Mailing Address: | Po Box 386, MADILL |
State: | OK |
Postal Code: | 734460386 |
Phone Number: | 5805644034 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | D62833603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |