37D2203329 CLIA NUMBER - NUGENEX PLUS APRN-CNP, PLLC

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Laboratory Demographics

CLIA Number: 37D2203329

Facility Name: NUGENEX PLUS APRN-CNP, PLLC

Facility Address:
13425 DEER SPRING DRIVE
PIEDMONT, OK
ZIP 73078
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Facility Phone Number: 405 999-3667

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1346841673

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D2203329
LAB Type	Practitioner Other
Facility Name	NUGENEX PLUS APRN-CNP, PLLC
Street	13425 DEER SPRING DRIVE
City	PIEDMONT
State	OK
ZIP	73078
Phone	405 999-3667
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024