Miranda L Laxton, APRN-CNP | |
108 W Main St, Tishomingo, OK 73460-1723 | |
(580) 774-3548 | |
Not Available |
Full Name | Miranda L Laxton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 108 W Main St, Tishomingo, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316708522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 216284 (Oklahoma) | Primary |
Entity Name | Main Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710758966 PECOS PAC ID: 0042656324 Enrollment ID: O20240308001428 |
Mailing Address | Practice Location Address |
---|---|
Miranda L Laxton, APRN-CNP 108 W Main St, Tishomingo, OK 73460-1723 Ph: (580) 774-3548 | Miranda L Laxton, APRN-CNP 108 W Main St, Tishomingo, OK 73460-1723 Ph: (580) 774-3548 |
Una Lorraine Mcelhany, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451 | |
Courtney Alisha Airington, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-371-2392 | |
Relinda Lea Black, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3170 | |
Jessica D Pickens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451 | |
Ashley Nicole Stites, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Tishomingo, OK 73460 Phone: 580-774-3548 Fax: 580-387-5031 | |
Linda Faye Richardson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3614 |