Pat Vavricka CNM

NPI 1043297575 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1043297575
Gender Female
Enumeration Date 12/27/2005
Last Updated 01/07/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1921 STONECIPHER BOULEVARD
ADA OK, 74820-3439, US
Phone (580) 421-6200
Fax (580) 421-6209
Business Location
1921 STONECIPHER BOULEVARD
ADA OK, 74820-3439, US
Phone (580) 421-6200
Fax (580) 421-6209
Toxanomy
Taxonomy Code 367A00000X
License State Oklahoma
License Number R0055240
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According to our database, Pat Vavricka CNM NPI is 1043297575, taxonomy code is 367A00000X and license number is R0055240, license state is located at Oklahoma. Pat Vavricka CNM physically located at 1921 Stonecipher Boulevard, Ada OK, 74820-3439. NPI Number Pat Vavricka CNM has the Individual type.

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1043297575 NPI number is provided on an as is basis without warranty of any kind. 1043297575 is maintained by the National Plan & Provider Enumeration System. The contents of Pat Vavricka CNM are for informational purposes only.