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Search › Oklahoma › Licensed Practical Nurse

Mitzi Pemberton, LPN

NPI 1366717134 · on the registry since 2012

Practice

Address
1500 N 6th St
Ponca City, OK 74601
Phone
(580) 763-0931
Fax
(580) 763-0934
Organisation at this address
Edwin Fair Cmhc
Edwin Fair Cmhc
Edwin Fair Cmhc
Creoks Behavioral Health Services
Edwin Fair Community Mental Health Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
65

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma