CHANDRA AKE APRN-CNP LLC NPI 1346836137

NPI Information

NPI: 1346836137
Provider Name: CHANDRA AKE APRN-CNP, LLC

Doing Business As: WILLOW HEALTH & WELLNESS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2200865

Address:
1611 MAIN ST STE 204
WOODWARD, OK
ZIP 73801
Phone: (580) 290-5055
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CHANDRA AKE APRN-CNP, LLC is a primary care clinic center in Woodward, OK. CHANDRA AKE APRN-CNP, LLC NPI is 1346836137. The provider is registered as an organization entity type.
The provider Is Doing Business As Willow Health & Wellness.

The provider's business location address is:

1611 MAIN ST STE 204
WOODWARD, OK
ZIP 73801-064
Phone: (580) 290-5055

The provider's authorized official is Chandra Ake .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (580) 290-5055.

The CLIA number assigned to this NPI record is 37D2200865 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 6/9/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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