NPI 1083750889 · live from the CMS NPI Registry
Affordable Family Health Care INC
Nurse Practitioner, Family in Grove, OK. National Provider Identifier 1083750889, active.
NPI record
| NPI | 1083750889 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 19 E 3rd St, Grove, OK 74344 |
| Practice phone | 918-786-9587 |
| Enumerated | January 29, 2007 |
| Last updated | January 4, 2011 |
| Authorized official | Deborah Hendrix, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R0071124 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.