IndividualActive
Amanda Combs
NPI 1053787283 · Gerontology Nurse Practitioner · Pocola, OK
Provider details
- NPI number
- 1053787283
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A004509 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
202 Beam Ln
Pocola, OK 74902-2463
Phone: (479) 926-0332
Approximate (ZIP-level) locationGet directions
Mailing address
202 Beam Ln
Pocola, OK 74902-2463
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.