Brian Travis Pendarvis, ARNP Valid NPI

Individual provider · Family Nurse Practitioner · Noble, OK

NPI

1417952904

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R0067224 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-06-20

Last updated

2014-01-30