Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath | ||
N | 176B00000X | Midwife |
NPI | 1447629431 |
---|---|
Provider Name | Vicki Walden |
First Address | Norman, OK 73069-7496 |
Second Address | Norman, OK 73069-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2015 |
Last Update Date | 19/09/2015 |