Makeda Gant
Nurse Practitioner - Family Medicine
1129 S Aspen Ave
Broken Arrow
, Oklahoma 74012-4859
Makeda Gant
Nurse Practitioner - Family Medicine
1129 S Aspen Ave
Broken Arrow
, Oklahoma 74012-4859
(918) 403-6311
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Makeda Gant
- 13600 E 86th St N Ste 100
- Owasso, OK
- Zip : 74055-8732
- Fax : (918) 403-6311
- Phone : (918) 272-9313
Second Address
- Makeda Gant
- 1129 S Aspen Ave
- Broken Arrow, OK
- Zip : 74012-4859
- Fax : (918) 764-9275
- Phone : (918) 764-9300
Reviews
FAQs
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What type of doctor is Makeda Gant
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Where is Makeda Gant ’s practice located?
What is Makeda Gant ’s gender?
Is Makeda Gant a sole practitioner?
Is Makeda Gant accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 116446 | OK |
National Provider Identifier
| NPI | 1003201039 |
|---|---|
| Provider Name | Makeda Gant |
| First Address | Owasso, OK 74055-8732 |
| Second Address | Broken Arrow, OK 74012-4859 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2015 |
| Last Update Date | 28/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.