Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 96018 | OK |
NPI | 1043648660 |
---|---|
Provider Name | Maria Danielle Mcclatchie |
First Address | Oklahoma City, OK 73126-0901 |
Second Address | Oklahoma City, OK 73104-5036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2013 |
Last Update Date | 28/01/2014 |