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NPI Code Detail

MEDICARE: KRISTIE PRICE-SISSONS LPN

MEDICARE: KRISTIE PRICE-SISSONS LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseL0052210OK

General Provider Information

NPI Number : 1477158012
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE PRICE-SISSONS LPN
Provider Business Mailing Address
First Line : 631 SW 37TH ST
Second Line :
City : MOORE
State : OK
Zip : 73160-7746
Country : US
Telephone Number : 580-334-0558
Fax Number :
Provider Business Practice Location Address
First Line : 948 W HEFNER RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-6927
Country : US
Telephone Number : 580-334-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2020
Last Update Date : 05/26/2021

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Directions to “ KRISTIE PRICE-SISSONS LPN” Practice Location

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