Gibson, Nola Larue

Gibson, Nola Larue is an individual health care provider with primary practice located at 2 Miles East Of Boley On Hwy 62 , Boley OK 74829. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gibson, Nola Larue can be contacted via phone (918) 667-3367.

Contact Information

Primary practice address
2 Miles East Of Boley On Hwy 62 Boley OK 74829
Phone: (918) 667-3367
Fax: (918) 667-3387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0028163 Oklahoma

Profile Details

NPI number 1699008193
LBN Legal business name Gibson, Nola Larue
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2009
Last updated Sep 15th, 2009 - about 16 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 1699008193 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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