Criscione, Marco Nmn

Criscione, Marco Nmn is an individual health care provider with primary practice located at 512 N Franklin St , Jenks OK 74037-2489. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Criscione, Marco Nmn can be contacted via phone (918) 582-6200.

Contact Information

Primary practice address
512 N Franklin St Jenks OK 74037-2489
Phone: (918) 582-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0103010 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0103010 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0103010O Oklahoma

Profile Details

NPI number 1134645922
LBN Legal business name Criscione, Marco Nmn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2017
Last updated Feb 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134645922 NPPES
Oklahoma Other 0103010 LICENSE
Oklahoma Other 2M8551 LICENSE
Oklahoma MEDICAID 200741260A LICENSE

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