Secrist, Mary Anne

Secrist, Mary Anne is an individual health care provider with primary practice located at 4720 S Western Ave , Oklahoma City OK 73109-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Secrist, Mary Anne can be contacted via phone (405) 634-5529.

Contact Information

Primary practice address
4720 S Western Ave Oklahoma City OK 73109-3834
Phone: (405) 634-5529
Fax: (405) 636-1673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R0026857 Oklahoma

Profile Details

NPI number 1962401653
LBN Legal business name Secrist, Mary Anne
Credentials MS, RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1962401653 NPPES
Oklahoma Other R0026857 RN LICENSE

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