SearchOklahomaLicensed Practical Nurse

Donald Pettey

NPI 1982813788 · on the registry since 2007 · sole proprietor

Practice

Address
1222 10th St Ste 211
Woodward, OK 73801
Phone
(580) 256-8615
Fax
(580) 256-8643
Organisation at this address
State Of Oklahoma
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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