Wellspring Family Clinic

NPI 1033526611 - Clinic/Center - 261Q00000X

NPI Details
NPI 1033526611
Enumeration Date 07/16/2014
Last Updated 10/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KRISTI GENE KRISTI
Position NURSE PRACTITIONER/OWNER
Phone (918) 461-0422
Fax (918) 461-0428
Practice Location
4623 W KENOSHA ST
BROKEN ARROW OK, 74012-8975, US
Phone (918) 461-0422
Fax (918) 461-0428
Business Location
4623 W KENOSHA ST
BROKEN ARROW OK, 74012-8975, US
Phone (918) 693-0834
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Oklahoma
License Number R0075262
Remove 1033526611 NPI Number
 

According to our database, Wellspring Family Clinic NPI is 1033526611, taxonomy code is 261Q00000X and license number is R0075262, license state is located at Oklahoma. Wellspring Family Clinic physically located at 4623 W Kenosha St, Broken Arrow OK, 74012-8975. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033526611 NPI number is provided on an as is basis without warranty of any kind. 1033526611 is maintained by the National Plan & Provider Enumeration System. The contents of Wellspring Family Clinic are for informational purposes only.