Balance Family Practice & Medical Spa LLC
Organization Active NPI Family Medicine Physician · Pawhuska, OK
NPI 1255829149 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1255829149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 93576 (OK)
- Legal business name
- BALANCE FAMILY PRACTICE & MEDICAL SPA LLC
- Practice address
- 10330 State Hwy 10
Pawhuska, OK 74056 - Phone
- (918) 397-5437
- Fax
- (918) 398-9316
- NPI assigned
- Apr 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Scarlett Nicole Virden, DNP APRN FNP-C
- Title
- Owner Operator
- Phone
- (918) 397-5437
National Provider Directory
Locations
501 SE Frank Phillips Blvd
Ste 202
Bartlesville, OK 74003
Phone (918) 332-5857
10330 State Highway 10
Pawhuska, OK 74056
Phone (918) 397-5437
1230 W Main St
Ste B
Pawhuska, OK 74056
Phone (918) 604-5108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 93576 | OK | Yes |
Addresses
Primary practice location
10330 State Hwy 10
Pawhuska, OK 74056
Mailing address
10330 State Highway 10
Bartlesville, OK 74056
Phone (918) 397-5437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200789230A | Medicaid | OK |
Other providers in Pawhuska, OK
- Mark A Anthony
- Judith Leigh Armstrong
- Ba Wellness Services, LLC
- Lisa B Bagg
- Shawna Bagley
- Jakaya Lynn Jean Barker
- Heather N Barkley
- James F Barnett
- Charles Barrone
- Gabriele Dawn Barrone
All providers in Pawhuska, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.