GRACE RIVER WOMEN'S HEALTH LLC NPI 1083207682

NPI Information

GRACE RIVER WOMEN'S HEALTH LLC is a women's health nurse practitioner in Muskogee, OK. GRACE RIVER WOMEN'S HEALTH LLC NPI is 1083207682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 S 37TH ST
MUSKOGEE, OK
ZIP 74401-906
Phone: (918) 781-2496

The provider's authorized official is Sheila Metzger .
The authorized official title is Owner and has the following contact phone number (918) 781-2496.

The CLIA number assigned to this NPI record is 37D2275320 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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