Whalio Doctors

NPI 1063978757

Nicole Brown

Practitioner Licensed Practical Nurse Shawnee, OK

Practice location

Address
781 Grand Casino Blvd, Shawnee, OK 74804-1005
Phone
(405) 964-5770

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 68219 (OK)

Registry record

NPI
1063978757
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Feb 2019
Record last updated
18 Feb 2019

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.