Misty J Haraway, PA Valid NPI

Individual provider · Medical Physician Assistant · Checotah, OK

NPI

1457331076

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA 1113 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2006-01-19

Last updated

2010-11-30