Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 104730 | OK |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 104730 | OK |
N | 363LG0600X | Nurse Practitioner - Gerontology | 104730 | OK |
NPI | 1013361617 |
---|---|
Provider Name | Brooke Armstrong |
First Address | Oklahoma City, OK 73134-6069 |
Second Address | Oklahoma City, OK 73134-6069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2016 |
Last Update Date | 24/04/2017 |