JEANINE DETERDING, ARNP

Registered Nurse - General Practice

Active Individual
NPI: 1033117072

Practice Address

306 FAIRVIEW AVE
Ponca City, OK 74601

Phone: (580) 762-3342

Specialties

Specialty Code Primary License
Registered Nurse - General Practice 163WG0000X Yes R0045604 (OK)

Frequently Asked Questions

NPI 1033117072 is the National Provider Identifier for JEANINE DETERDING, ARNP, a Registered Nurse - General Practice provider located in Ponca City, OK. This NPI was enumerated on July 13, 2005.
JEANINE DETERDING, ARNP practices at 306 FAIRVIEW AVE, Ponca City, OK 74601.

Quick Facts

NPI
1033117072
Type
Individual
Enumerated
Jul 13, 2005
Last Updated
Jul 8, 2007

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