Wickliffe, Angeline Marie
Wickliffe, Angeline Marie is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wickliffe, Angeline Marie can be contacted via phone (918) 458-3100.Contact Information
Primary practice address
100 S Bliss Ave
Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 91177 | Oklahoma |
Profile Details
| NPI number | 1427351519 |
|---|---|
| LBN Legal business name | Wickliffe, Angeline Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2010 |
| Last updated | Jan 5th, 2011 - about 14 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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