Pemberton, Mitzi Gail

Pemberton, Mitzi Gail is an individual health care provider with primary practice located at 1500 N 6Th St , Ponca City OK 74601-2827. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pemberton, Mitzi Gail can be contacted via phone (580) 763-0931.

Contact Information

Primary practice address
1500 N 6Th St Ponca City OK 74601-2827
Fax: (580) 763-0934
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L0045857 Oklahoma

Profile Details

NPI number 1366717134
LBN Legal business name Pemberton, Mitzi Gail
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2012
Last updated Mar 13th, 2012 - about 12 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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