Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 3706 | OK |
NPI | 1033109673 |
---|---|
Provider Name | Natalie J Gilbert |
First Address | Bartlesville, OK 74006-2343 |
Second Address | Bartlesville, OK 74006-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100126190A | (05) | OK |
H12060 | (02) |