| 918 Family Wellness Pllc | |
|
8430 N 123rd East Ave Owasso OK 74055-2130 | |
| (918) 986-3050 | |
| Not Available |
| Full Name | 918 Family Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8430 N 123rd East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Andrea Allen (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 9189863530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 918 Family Wellness Pllc 108 W 1st Ave Ste C Owasso OK 74055-3137 Ph: (918) 986-3530 | 918 Family Wellness Pllc 8430 N 123rd East Ave Owasso OK 74055-2130 Ph: (918) 986-3050 |
| NPI Number | 1073202792 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0941667075 |
|---|---|
| Medicare Enrollment ID | O20230606001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073202792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Andrea Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518598564 PECOS PAC ID: 1153751979 Enrollment ID: I20200420000621 |
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