Conner Young, | |
1602 Sw 82nd St, Lawton, OK 73505-9012 | |
(580) 536-0077 | |
Not Available |
Full Name | Conner Young |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1602 Sw 82nd St, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225899057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 216163 (Oklahoma) | Primary |
Entity Name | Southwestern Surgical Affiliates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457 |
Mailing Address | Practice Location Address |
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Conner Young, 1602 Sw 82nd St, Lawton, OK 73505-9012 Ph: (580) 536-0077 | Conner Young, 1602 Sw 82nd St, Lawton, OK 73505-9012 Ph: (580) 536-0077 |
Jenny Rae Mohon, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 Phone: 580-353-0350 | |
Sharon Nichelle Brown, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5508 Sw Tyler Ave, Lawton, OK 73505 Phone: 580-291-6280 | |
Katherine Nguyen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6744 Nw Cache Rd, Lawton, OK 73505 Phone: 580-536-9355 | |
Dana Kaye Hulbert, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3811 W Gore Blvd, Ste 6, Lawton, OK 73505 Phone: 580-355-5242 Fax: 580-355-5245 | |
Dr. Jennifer L. Edwards, DFNP, APRN, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Mrs. Ellagene Elizabeth Cruz, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Sw 82nd St, Lawton, OK 73505 Phone: 580-536-0077 | |
Theleka Williams, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6744 Nw Cache Rd, Lawton, OK 73505 Phone: 580-536-9355 Fax: 580-536-3537 |