| Apex Wound Management Llc | |
|
4312 S Retana Ave Broken Arrow OK 74011-1397 | |
| (918) 720-4957 | |
| Not Available |
| Full Name | Apex Wound Management Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4312 S Retana Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Donald R Brown (PRESIDENT) |
| Authorized Official Contact | 9187204957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Wound Management Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 | Apex Wound Management Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 |
| NPI Number | 1740067727 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 0840647715 |
|---|---|
| Medicare Enrollment ID | O20231114003318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740067727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Amanda Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194340307 PECOS PAC ID: 4688087950 Enrollment ID: I20210105001601 |
| Provider Name | Charla Candace Bridgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831556018 PECOS PAC ID: 2466819768 Enrollment ID: I20230531003765 |
| Provider Name | Crystal Ann Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053194738 PECOS PAC ID: 7618323650 Enrollment ID: I20231026003643 |
| Provider Name | Angela Baldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316712144 PECOS PAC ID: 0941652663 Enrollment ID: I20240118002074 |
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