NPI 1336610708

Nancy Lanette Cavner, DPPLIFECOACH

Practitioner Prevention Professional Ardmore, OK

Practice location

Address: 1011 14th Ave NW, Ardmore, OK 73401-1828
Phone: (580) 220-6094
Fax: (580) 220-6214

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 0033806 (OK)

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Registry record

NPI: 1336610708
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2018
Record last updated: 11 Dec 2018

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.