David D Dewitt, NURSE PRACTITIONER Valid NPI
Individual provider · Family Nurse Practitioner · Harrah, OK
- NPI
- 1780677807
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- R0038273 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-24
- Last updated
- 2007-07-08
Practice location
6332 Futurity Dr
Harrah, OK 73045-8912
(405) 229-5885