OrganizationActive
Integrative Family Care LLC
NPI 1235075508 · Primary Care Nurse Practitioner · Ponca City, OK
Provider details
- NPI number
- 1235075508
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Taylor Lewis, Authorized Official/Owner(405) 757-9781
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2305 Woodthrush Rd
Ponca City, OK 74604-2830
Phone: (405) 757-9781
Approximate (ZIP-level) locationGet directions
Mailing address
2305 Woodthrush Rd
Ponca City, OK 74604-2830
Registry dates
- Enumerated
- 2026-04-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.