Whalio Doctors

NPI 1033218912

Ginny Rebecca Mashburn, LPN

Practitioner Licensed Practical Nurse Ponca City, OK

Practice location

Address
200 White Eagle Dr, Ponca City, OK 74601
Phone
(580) 765-2501
Fax
(580) 765-7289
Mailing address
705 North Elm, Ponco City, OK 74601

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L0044597 (OK)

Registry record

NPI
1033218912
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Sep 2006
Record last updated
8 Jul 2007

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.