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BIRDENA DENISE AGUILERA RN

Individual Provider (NPI-1) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1063904662
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
1515 NE LAWRIE TATUM RD, LAWTON, OK, 735073002
Phone
(580) 354-5000

Specialties & Taxonomies

Registered Nurse, Emergency License: OK #102602
Nurse Practitioner, Family Primary License: OK #200329

All Addresses

LOCATION

1515 NE LAWRIE TATUM RD

LAWTON, OK, 735073002

(580) 354-5000

MAILING

612 N 6TH ST

MARLOW, OK, 730551618