Old Tyme Home Visits LLC

NPI #1659748556 in Purcell, Oklahoma

Provider Information

NPI Number
1659748556
Entity Type
Organization
Organization Name
Old Tyme Home Visits LLC
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
Aug 26, 2015
Last Updated
Aug 26, 2015

Practice Location

Address
128 W MAIN ST
ZIP Code
73080-4220
Phone
(405) 527-4704

Authorized Official

Name
DIANE DEWBRE, ARNP-CNP
Title
ADVANCED PRACTICE NURSE / OWNER
Phone
(405) 527-4704

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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