Mary Elizabeth Gassett

Individual provider Active NPI Community Health/Public Health Clinical Nurse Specialist · Nowata, OK

NPI 1629612080 · NPPES record last updated Oct 29, 2019

Key facts

NPI
1629612080
Entity type
Individual (NPI type 1)
Primary specialty
Community Health/Public Health Clinical Nurse Specialist 364SC1501X
License
45494 (OK)
Practice address
1020 Lenape Dr
Nowata, OK 74048-4403
Phone
(918) 273-7500
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
45494OKMDCommunity Health/Public Health Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364SC1501X 45494 OK Yes

Addresses

Primary practice location

1020 Lenape Dr
Nowata, OK 74048-4403

Mailing address

1020 Lenape Dr
Nowata, OK 74048-4403
Phone (918) 273-7500

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mary-gassett@cherokee.org

Other providers in Nowata, OK

All providers in Nowata, OK · Community Health/Public Health Clinical Nurse Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.