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Contact Information

MARYSUE E FARRIS, APRN
2900 S TELEPHONE RD
SUITE 250
MOORE, OK73160-2968
 Phone: 405-237-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Administrator

163WA2000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARYSUE E FARRIS · (Female)

NPI Number 1073967246
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/14/2016
Last updated 05/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 50272
  • OK License # F0816002
  • OK License # R0050272
  • OK Other F0816002 AANP CERTIFICATION
  • OK Other R0050272 RN LICENSE
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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