Healthcare Stat of Anadarko INC

NPI #1811359607 in Anadarko, Oklahoma

Provider Information

NPI Number
1811359607
Entity Type
Organization
Organization Name
Healthcare Stat of Anadarko INC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 22, 2016
Last Updated
May 18, 2016

Practice Location

Address
1503 S MISSION ST
Address 2
SUITE A
ZIP Code
73005-5815
Phone
(405) 247-1100

Authorized Official

Name
SHAWN BONILLA, APRN
Title
OWNER
Phone
(405) 822-2761

Specialties & Taxonomy Codes

Specialty
Emergency Medicine
Nurse Practitioner - FamilyFamily

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