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
Phone: (580) 763-0931
Fax: (580) 763-0934
Website:
Health care specialties
Specialty | Code | License # | 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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