Healthcare Provider Details

I. General information

NPI: 1588103014
Provider Name (Legal Business Name): NICOLE APLARA PRSS, CMII, BHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 REYNOLDS AVE
POTEAU OK
74953-4724
US

IV. Provider business mailing address

405 CRUCE ST
POTEAU OK
74953-2813
US

V. Phone/Fax

Practice location:
  • Phone: 918-649-0172
  • Fax:
Mailing address:
  • Phone: 918-839-4076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: