Whalio Doctors

NPI 1013548536

Nicole Burnham, LPN

Practitioner Licensed Practical Nurse Pryor, OK

Practice location

Address
109 N Fairland St, Pryor, OK 74361-4203
Phone
(918) 825-1405

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 64549 (OK)

Registry record

NPI
1013548536
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Feb 2020
Record last updated
3 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.