Amanda Recker Aprn-cnp | |
1 Medical Plaza Box 26 Ratliff City OK 73481-0026 | |
(580) 856-2102 | |
(580) 856-3607 |
Full Name | Amanda Recker Aprn-cnp |
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Speciality | Clinic/center - Primary Care |
Location | 1 Medical Plaza, Ratliff City, Oklahoma |
Authorized Official Name and Position | Amanda Recker (SOLE PROPRIETOR/OWNER) |
Authorized Official Contact | 5808562102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amanda Recker Aprn-cnp Po Box 26 1 Medical Plaza Ratliff City OK 73481-0026 Ph: (580) 856-2102 | Amanda Recker Aprn-cnp 1 Medical Plaza Box 26 Ratliff City OK 73481-0026 Ph: (580) 856-2102 |
NPI Number | 1659623627 |
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Provider Enumeration Date | 10/15/2012 |
Last Update Date | 10/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659623627 | NPI | - | NPPES |
1467753004 | Other | OK | AUTHORIZED PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 85617 (Oklahoma) | Primary |
363LF0000X | Nurse Practitioner - Family | 85617 (Oklahoma) | Secondary |