Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 109933 | OK |
NPI | 1003315995 |
---|---|
Provider Name | Rindi Linn Appelman |
First Address | Healdton, OK 73438-6124 |
Second Address | Healdton, OK 73438-6124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2018 |
Last Update Date | 25/04/2019 |