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Contact Information

MARIAH ELLIOTT
655 E OKMULGEE ST
MUSKOGEE, OK74403-5529
 Phone: 918-869-8636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MARIAH ELLIOTT · (Female)

NPI # 1104167097
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2013
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • OK License # 02635
  • OK License # 61050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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