| Nugenex Plus Aprn-cnp Pllc | |
|
2524 N Broadway Ste 314 Edmond OK 73034-4172 | |
| (405) 256-3361 | |
| (801) 806-5401 |
| Full Name | Nugenex Plus Aprn-cnp Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2524 N Broadway Ste 314, Edmond, Oklahoma |
| Authorized Official Name and Position | Traci Lambert (OWNER) |
| Authorized Official Contact | 4059993667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nugenex Plus Aprn-cnp Pllc 13425 Deer Spring Dr Piedmont OK 73078-3001 Ph: (405) 999-3667 | Nugenex Plus Aprn-cnp Pllc 2524 N Broadway Ste 314 Edmond OK 73034-4172 Ph: (405) 256-3361 |
| NPI Number | 1346841673 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 4688085574 |
|---|---|
| Medicare Enrollment ID | O20201125001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346841673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Mitchell Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992744486 PECOS PAC ID: 9537130406 Enrollment ID: I20110829000297 |
| Provider Name | Traci E Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896900 PECOS PAC ID: 3678849106 Enrollment ID: I20171027000072 |
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