Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 93195 | OK |
NPI | 1003165028 |
---|---|
Provider Name | Hilary Lauren Knippers |
First Address | Oklahoma City, OK 73159-7919 |
Second Address | Oklahoma City, OK 73159-7919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 07/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93195 | LICENSE (01) | OK |