Ltcnp Valid NPI

Organization · Primary Care Nurse Practitioner · Crescent, OK

NPI

1154030724

Type

Organization (Type 2)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

Enumerated

2022-11-22

Last updated

2025-12-08