-- MISTI BALLEW --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1821481334- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3520 CHANDLER RD, MUSKOGEE, OK, 744034910
- Phone
- (918) 478-6005
- Fax
- (918) 682-8321
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: OK #91434