Garland, Penni Young

Garland, Penni Young is an individual health care provider with primary practice located at 1101 S Belmont Ave Ste. 105, Okmulgee OK 74447-6315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Garland, Penni Young can be contacted via phone (918) 756-2533.

Contact Information

Primary practice address
1101 S Belmont Ave Ste. 105 Okmulgee OK 74447-6315
Fax: (918) 756-9588
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R0076634 Oklahoma

Profile Details

NPI number 1245294016
LBN Legal business name Garland, Penni Young
Credentials RNC, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 1st, 2014 - about 10 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 1245294016 NPPES
Oklahoma MEDICAID 200053850A

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