Choctaw Womens Clinic PLLC

Organization Active NPI Family Nurse Practitioner · Choctaw, OK

NPI 1194134726 · NPPES record last updated Aug 7, 2014

Key facts

NPI
1194134726
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
CHOCTAW WOMENS CLINIC PLLC
Practice address
14890 SE 29TH St
Suite 106
Choctaw, OK 73020-3515
Phone
(405) 620-0049
Fax
(405) 234-9476
NPI assigned
Aug 7, 2014
Organization subpart
No

Authorized official

Name
Sara Marie Botchlet
Title
Owner
Phone
(405) 620-0049

National Provider Directory

Locations

14890 SE 29th St
Ste 106
Choctaw, OK 73020
Phone (405) 281-1027

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

14890 SE 29TH St
Suite 106
Choctaw, OK 73020-3515

Mailing address

14890 SE 29TH Street
Suite 106
Choctaw, OK 73020
Phone (405) 620-0049

Other providers in Choctaw, OK

All providers in Choctaw, OK · Family Nurse Practitioner in Oklahoma

Sources for this page

Verify at the official NPI Registry.