Angeline Marie Wickliffe ARNP

NPI 1427351519 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1427351519
Gender Female
Enumeration Date 12/10/2010
Last Updated 01/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
100 S BLISS AVE
TAHLEQUAH OK, 74464-2512, US
Phone (918) 458-3100
Fax
Business Location
1001 S MAPLE AVE
TAHLEQUAH OK, 74464-5127, US
Phone (918) 207-5688
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Oklahoma
License Number 91177
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According to our database, Mrs. Angeline Marie Wickliffe ARNP NPI is 1427351519, taxonomy code is 363LF0000X and license number is 91177, license state is located at Oklahoma. Angeline Marie Wickliffe ARNP physically located at 100 S Bliss Ave, Tahlequah OK, 74464-2512. NPI Number Angeline Marie Wickliffe ARNP has the Individual type.

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1427351519 NPI number is provided on an as is basis without warranty of any kind. 1427351519 is maintained by the National Plan & Provider Enumeration System. The contents of Angeline Marie Wickliffe ARNP are for informational purposes only.